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CORDIS - Resultados de investigaciones de la UE
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Contenido archivado el 2024-04-16

Care delivery systems for the elderly

Objetivo

The study arose out of concern about the difficulties widely encountered in adapting service provision to the demands for health and social care from the increasing number of older people. The project aimed first, to investigate the health and living conditions of older people living at home; secondly, to identify factors affecting decisions to allocate services; and thirdly, to describe and explain trends in policies of care for older people.
A study was made of care deliveries systems for the elderly. This provided information about elderly people living at home in the member countries, their age, marital status, family and household composition, functional abilities and the types of care received from family, friends and neighbours. It considered differences and similarities between countries as regards the formal provision of health and social care, and policies of care for older people. It was found that difficulties in providing appropriate care for older people are aggravated first, by over concentration of resources on medical and residual institutions (although less so in Denmark), secondly, by organizational and professional fragmentation, which characterizes all the care delivery systems. Besides these systems similarities there are, however, significant 'nonsystems' differences, both within and between countries and especially between 'north' and 'south'. Such differences are likely to have a profound impact on the possible future directions of care policies for older people in Europe.
Methods

The design consisted of three related sub-projects. First, a survey of small sample of the elderly population living in their own homes. Countries participating in this study used personal interviews, except for the Danish team, who used postal questionnaires. Interview schedules were designed within a common framework, but adapted to the specific concerns and interests of each country. Greece and Italy contributed with data which had already been collected as part of the WHO 11 country study. Computer analysis of data was conducted at national level, but it was not possible - or intended - to integrate raw data at the cross-national level. The comparative analysis was based upon the data interpretations made by the national teams.

The second sub-project was a qualitative study of the decision making processes at key points in each of the service systems. The decision as to what constituted a key point was made by each national team, since differences in the nature of the service provision varied between countries, and thus did not allow for identical service points to be studied. Reports from each team were submitted for comparative analysis. Allocation of home help was chosen as the most frequent key point and therefore selected for closer analysis.

The third part of the project, the study of policies of care, was a qualitative study of documentary material such as for example government white papers, legislative documents.

Ámbito científico (EuroSciVoc)

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CON - Coordination of research actions

Coordinador

University of Bath
Aportación de la UE
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Dirección
Claverton Down
BA2 7AY Bath
Reino Unido

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