Countering social exclusion through inclusive homecare provision

Utilising a participatory life-course approach to influence policy

Datos Bibliográficos

ID4595503
AutoresKieran Walsh (0000-0002-6718-193X, Ollscoil na Gaillimhe – University of Galway, autor de correspondencia), Bill Carroll (0000-0002-1805-0968, Ollscoil na Gaillimhe – University of Galway), Brídín Carroll, Eamon O’shea (0000-0002-5521-5987, Ollscoil na Gaillimhe – University of Galway), Eamon O''Shea, Eamon O'Shea, Denis O''Donovan (0000-0001-8771-7271, Queens University), Diarmuid O''Donovan, Diarmuid O'Donovan
Año2024
Volumen352
Páginas117003
Fecha de publicación2024-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSocial Science & Medicine (JOURNAL)
Identificadores de la revistaISSN: 0277-9536 • E-ISSN: 1873-5347
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.117003
PMID38901211
OpenAlexW4398224826
IdiomaEN
Referencias citadas29

Homecare models can be effective mechanisms in securing wellbeing and ageing-in-place goals prevalent in health policy agendas. However, the relevance and utility of these models for those living in socially and environmentally insecure conditions has rarely been considered. This is marked by an assumption of in-situ care delivery in private dwellings, and the absence of such groups from homecare development processes. This study aims to harnesses the experiences and preferences of older people in homelessness (OH), older Irish Travellers (OT), and professional stakeholders in an evidence-based co-production of policy recommendations for inclusive homecare provision. The study employed a participatory approach involving the integration of lived experience evidence in a multistakeholder co-production process. Methods comprised: five separate focus groups with OH, OT and service providers (n = 30); two consultative forums involving focus group participants together; and 49 life-course interviews with OH (n = 27) and OT (n = 22) and adults. Findings demonstrate that sizeable gaps in care remain for these groups, and that resource constraints and legislative restrictions prevail for professional stakeholders. Co-produced policy recommendations for inclusive homecare provision based on these experiences and group preferences are presented and discussed

Business · Citizen journalism · Focus group · Irish · Legislature · Life course approach · Participatory action research · Political science · Public relations · Relevance (law · Social policy · Sociology · Geriatric Care and Nursing Homes · Health disparities and outcomes · Homelessness and Social Issues · Medicine · Nursing · Psychology · Social Psychology · Marketing