Demographic and epidemiological changes mean that frail older people have come to be seen as an expensive problem for health care systems. The challenge for professionals and policy-makers is to find ways to respond to the coming crisis by delivering high-quality care in the home. This collection offers a critical analysis of home care policy and practice. It focuses on how high-quality care is provided and the practices and policies that support this. It offers case studies (both policy- and practice-oriented empirical studies) from countries that share a basic orientation to social welfare: Canada, Denmark, Finland, Iceland, Sweden and the United Kingdom. The nine chapters set out a critical agenda for the development of "good" practices in challenging times. This book is essential reading for students, practitioners and researchers who wish to understand diverse problems in care provision for frail older persons and the complexities of policy responses in different health and social care contexts.
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Kristin Björnsdóttir is Professor in the Faculty of Nursing, School of Health Sciences at the University of Iceland, Iceland.
Christine Ceci is Assistant Professor in the Faculty of Nursing at the University of Alberta, Canada.
Mary Ellen Purkis is Dean and Professor in the Faculty of Human and Social Development at University of Victoria, Canada.Review:
"Ceci et al. bring together nine essays on home-based supportive care and services for frail older people, focusing on the questions of how people's daily lives relate to ideological, practice, and programmatic discourses and conditions, and what the conditions of possibility for care are where the frailties of older people matter, as well as the state's role. Writing from the perspective of patients, policy makers, and workers, a group of nursing, social sciences, aging, and other researchers from Europe and North America discusses topics such as accommodations that can be made to enhance independent living, home and care in terms of relational extension and the art of dwelling, the concept of home and space, a study of the practices of case managers to understand what "good" care is, the implications of care policies in European countries, how hospital staff mediate opportunities for patients to return to their homes, establishing standards for service provision and ensuring accountability for public funds, the cost of these public services, using categories to aid in case management, and specific practices in the UK, Canada, and Iceland." - Book News
"Perspectives on Care at Home for Older People offers a critical analysis of how to best respond to the perceived challenges of home care for frail older adults, providing outstanding responses to two crucial questions: First, how do actualities of people's daily lives articulate with ideological, practical and programmatic discourses and material conditions? And second, what are the conditions of possibility for "care" where the frailties of older people matter?" - International Journal of Ageing and Later Life, 2012
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