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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Service use and prevention of emergency hospital admissions: a comparison of the views of older people and health and social care professionals
Author(s): Themessl-Huber, Markus
Hubbard, Gill
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Keywords: Older people
user involvement
service delivery
service use
qualitative research
Older people
Old age assistance
Social interaction
Older people Institutional care
Institutional care Great Britain
Issue Date: 2006
Citation: Themessl-Huber M & Hubbard G (2006) Service use and prevention of emergency hospital admissions: a comparison of the views of older people and health and social care professionals. Research Policy and Planning, 24 (3), pp. 165-178.
Abstract: This paper presents a comparison of the perceptions of health and social care professionals and older people on the prevention of emergency hospital admissions and the use of care services. Whereas older people viewed emergency admission as an inevitable part of ageing, professionals attributed many emergency admissions to the social isolation of older people. Professionals reported that the majority of services were not designed to minimise isolation in older age. Older people listed quality of life, boosted by socialising and support during periods of good health, as their first priority. Older people and professionals presented differing arguments why some health and social care services were underutilised. Older people explained that they deliberately avoided using some services because they believed these would undermine their independence and level of activity. Professionals reasoned that low uptake of services was associated with service providers’ lack of knowledge and trust as well as problems with the accessibility of services. This shows that service users and providers differ in their assessment of need and service delivery. Hence, it is argued that both professional and patient perspectives are required to inform service development that meets the needs of older people and health and social care staff.
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