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Choice in Residential Care

Myths and Realities

Datos Bibliográficos

ID2113266
AutoresJohn A Vincent, John A C Vincent, Alan D Tibbenham, David R Phillips (0000-0002-0998-5403)
Año1987
Volumen16
Número4
Páginas435-460
Fecha de publicación1987-10-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Social Policy (JOURNAL)
Identificadores de la revistaISSN: 0047-2794 • E-ISSN: 1469-7823
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0047279400016123
PMID10285455
OpenAlexW2160143860
IdiomaEN
Citas recibidas3
Referencias citadas8

This paper examines the proposition that the welfare policies enacted and legitimised in the name of 'choice' have the effect of increasing the effective choice of service by consumers of welfare. The example of residential care of the elderly is used to illustrate the ways in which privatisation has influenced choices of care for elderly people in Devon. The paper reviews empirical material from two surveys of private homes in Devon in order to throw light on the 'myths' and realities of choice in residential accommodation and in other welfare provision available to the elderly in Devon. The paper identifies as the key debate the question of priorities: whether resources should be concentrated on providing suitable residential places for the increasing number of the very disabled elderly or used to increase the alternatives for the larger, more able groups. The latter option can perhaps be reasonably achieved through market mechanisms, whilst the former is more likely to require the specialised skills of social workers and other caring professionals. Although it is possible to argue that the growth in numbers of private old people's homes represents an increase in choice for the elderly, on closer examination this appears too simple an assertion. The expansion of the private sector has not necessarily expanded the range of alternative forms of care. In particular, there seems a major flaw in current policies by which the operation of the DHSS subsidy increases the availability of residential rather than domiciliary care

Accommodation · Assertion · Business · Economics · Market economy · Order (exchange) · Public economics · Residential care · Service (business) · Subsidy · Welfare · Finance · Healthcare innovation and challenges · Housing, Finance, and Neoliberalism · Marketing · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology

  • Geographical questions in gerontology

    Open Access•Anthony Warnes, Anthony M Warnes•Progress in Human Geography•1990

  • Activism for medical geographers

    Open Access•Michael R Greenberg, Mark W Rosenberg et al.•Social Science & Medicine•1990

  • Changing local geographies of private residential care for older people 1983-1999

    Open Access•Gavin J Andrews, David R Phillips•Social Science & Medicine•2002

  • Care in the Community

    Open Access•G Clare Wenger•Ageing and Society•1985

  • Privatisation and the Welfare State

    A J Culyer, Julian Le Grand et al.•Economica•1985

  • Private Residential Accommodation for the Elderly

    David R Phillips, John A Vincent et al.•Transactions of the Institute of…•1986

  • The Elderly Population of Great Britain

    A M Warnes, C M Law•Transactions of the Institute of…•1984

  • The Changing Geography of the Elderly in England and Wales

    C M Law, A M Warnes et al.•Transactions of the Institute of…•1976

  • Petit Bourgeois Care

    David R Phillips, John A Vincent et al.•Policy & Politics•1986

Obras citantes distintas3
Citas por año0,08
Intervalo de citas1990 - 2002 (13)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 3
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