Vård och omsorg i eget boende på äldre dar
1992 (Swedish)Doctoral thesis, monograph (Other academic)
Swedish policy conseming the care of the elderly is based on the ideologically motivated ambitions of independent living and community support irrespective of care needs. The aim was to study the implementation of this policy in a local community with high ambitions in this regard. With the focus on the frail, all the elderly over seventy were followed via mailed questionnaires, prospective studies of the serviceduring a two-year period and selected interviews with users and providers of care and support.
The degree of self-reported health was shown to be a dominant factor related to support and care needs, but the mix of services and support varied considerably as regards health, formal/informal support and availability of housing adaptations. The very frail received more care and support but were clearly less satisfied with the help received. Poor continuity characterized for home help; 35% of the help recipients were individually helped by more than 40 different persons during the two-year period. However, the degree of continuity did not significantly affect the recipients' opinion of the total help and their overall satisfaction with life. The results also indicate that for persons in need of home help life is often difficult and problematic, and factors such as health and physical functional ability arc more important than continuity in home help. Reciprocal emotional relationships between home helpers and recipients were infrequent, probably due, at least partly, to poor continuity.
A conclusion of this study is that there is a need to develop a new organisation for home care, with better opportunities for the recipients to form one or two close relationships. This is especially important for persons who. lack informal relationships. Traditional community services are generally designed for the less frail and needy elderly, and both formal and informal support will have to be "professionally" and organisationally restructured to fit the growing category of more vulnerable users.
Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 1992. , 131 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 73
elderly, elderly care, home help, nursing, home care, continuity, informal support, housing adaptation
Social Sciences Interdisciplinary
IdentifiersURN: urn:nbn:se:liu:diva-35110Local ID: 24885ISBN: 91-7870-867-2OAI: oai:DiVA.org:liu-35110DiVA: diva2:255958
1992-03-23, Sal 1: 101, Hus I, Universitetsområdet Valla, Linköping, 10:00 (Swedish)