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Hospital discharge and the citizenship rights of older people

Will the UK become a test-bed for Eastern Europe

Bibliographic Data

ID12606259
AuthorsDeirdre Ford (corresponding author), Paul Stepney
Year2003
Volume6
Issue3
Pages257-272
Publication date2003-12-01
Open AccessNo
TypeARTICLE
VenueEuropean Journal of Social Work (JOURNAL)
Journal identifiersISSN: 1369-1457 • E-ISSN: 1468-2664
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/1369145032000164564
OpenAlexW2079381084
LanguageEN
Citations received3

The authors are both experienced social workers and teachers in the field of community care. They draw on their UK and European experiences as well as the growing body of research on hospital discharges of older people to illustrate how citizenship rights and social justice cannot be upheld without ethical good practice in this field. Community Care in the UK now contains in-built tensions and potential conflicts between health and social services staff over continuing care. Entitlements and ethical considerations can be obscured by the economic interests of the agencies involved. These developments which are already evident in other European welfare states provide a warning to Eastern Europe about the dangers of importing managerial and market principles into the field of care for older people. Research evidence supported by case studies is used to illustrate how rights to health care and even human rights can be overridden when policies of cost containment combined with efficiency targets begin to shape decisions about care. Further, the recent proposal to fine UK social services departments 100 (140 Euros) per day for delayed discharge will only exacerbate the problem. The authors argue that research can provide guidance on the essential elements for good practice in inter-professional work, especially concepts of well-being that include justice, fairness, participation and autonomy to counteract the jeopardised citizenship of older people

Autonomy · Citizenship · Economic Justice · Health care · Political science · Public relations · Social Welfare · Sociology · Welfare · Geriatric Care and Nursing Homes · Healthcare innovation and challenges · Law · Public Administration · Social Policy and Reform Studies · Social Work

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Citations per year0.18
Citation span2009 - 2019 (11)
Highly citedNo

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