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Older migrants’ access to healthcare: a thematic synthesis
- Authors:
- ARORA Sanjana, et al
- Journal article citation:
- International Journal of Migration Health and Social Care, 14(4), 2018, pp.425-438.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to synthesise data from the existent literature on the experiences of non-western older migrants in Europe in accessing and using healthcare services. Design/methodology/approach: In total, 1,606 records were reviewed and 12 studies were selected. A thematic synthesis using Thomas and Harden’s approach was conducted. Findings: The findings resulted in the three overarching themes: traditional discourses under new circumstances; predisposed vulnerabilities of older migrants and the healthcare system; and the conceptualization of health and the roles of healthcare professionals. The authors found that older migrants’ experience of accessing healthcare is influenced by many factors, such as health literacy, differences in healthcare beliefs and language barriers, and is not limited to cultural and traditional discourses of care. Findings reveal that there is a limited body of knowledge on barriers experienced by older migrant women. Research limitations/implications: The geographical scope of the study and subsequent type of healthcare systems should be taken into account while understanding barriers to care. Another limitation is that although the authors studied different migrant groups, the authors synthesised barriers experienced by all. Future research could study migrants as separate groups to better understand how previous experiences with healthcare in their home country and specific social, cultural and economic circumstances shape them. Originality/value: This paper provides a synthesis of the experiences of migrants from non-western countries who moved to a host country with a very different language, culture and healthcare system. (Edited publisher abstract)
Ageing and vulnerable elderly people: European perspectives
- Author:
- GRUNDY Emily
- Journal article citation:
- Ageing and Society, 26(1), January 2006, pp.105-134.
- Publisher:
- Cambridge University Press
This paper considers the processes and circumstances that create vulnerability among older people, specifically to a very poor quality of life or an untimely or degrading death. Models of ageing processes are used to define vulnerable older people as those whose reserve capacity falls below the threshold needed to cope successfully with the challenges they face. Compensatory supports may intervene to mitigate the effects of challenges and to rebuild reserve. The dimensions of reserve, challenges and compensation are discussed, with emphasis on demographic and other influences on the availability of family and social support. Policy initiatives to reduce vulnerability can focus on each part of the dynamic process that creates vulnerability, namely, ensuring that people reach later life with ‘reserve’, reducing the challenges they face in later life, and providing adequate compensatory supports. The promotion through the lifecourse of healthy lifestyles and the acquisition of coping skills, strong family and social ties, active interests, and savings and assets, will develop reserves and ensure that they are strong in later life. Some of the physical and psychological challenges that people may face as they age cannot be modified, but others can. Interventions to develop compensatory supports include access to good acute care and rehabilitation when needed, substitute professional social and psychological help in times of crisis, long-term help and income support.
Comparative European module: protection of vulnerable older people
- Authors:
- BRADLEY Greta, PENHALE Bridget
- Journal article citation:
- Journal of Adult Protection, 2(4), November 2000, pp.17-21.
- Publisher:
- Emerald
For the past four years, the social work department at the University of Hull has been working in partnership with colleagues from Austria, France and Germany to develop a European module on comparative social work. Funded by the EU's SOCRATES programme, this has involved the four European sites developing and adapting a prototype module concerning vulnerable older people to fit with their own programme requirements. This paper describes what the process has revealed.
The sustainable development agenda: the role of social services. SDG3 improving health and wellbeing
- Author:
- EUROPEAN SOCIAL NETWORK
- Publisher:
- European Social Network
- Publication year:
- 2019
- Pagination:
- 12
- Place of publication:
- Belgium
A policy briefing which explains how social services can play an important role in providing preventative services to ensure good health and wellbeing at the local level. It is based on literature review, collection of practices and the outcomes of discussions at a working group meeting of the Social Services Network. The meeting was attended by representatives of social services from different EU countries, Canada, United States and Norway. Participants discussed strategies promoting the health and wellbeing of the population groups: children in care, older people, homeless people and people with substance misuse and addictions. For each target group, the paper presents key points and identifies challenges and opportunities facing social services in their promotion of wellbeing. The briefing also includes recommendations on successful health and wellbeing promotion for vulnerable populations with an emphasis on the role of social services in implementation. (Edited publisher abstract)