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Navigating Social Services from the Perspective of Finnish Older Adults with Complex Needs

An Examination of Different Dimensions of Access

Bibliographic Data

ID7323525
AuthorsJenna Peiponen (0000-0001-7331-181X, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland, corresponding author), Elisa Tiilikainen (0000-0002-3947-6036, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland), Riitta‐liisa Kinni (0000-0002-9771-8726, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland), Sari Rissanen (0000-0002-9882-7991, Department of Social Sciences, University of Eastern Finland, Kuopio, Finland)
Year2024
Volume51
Issue1
Pages144-161
Publication date2024-08-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Social Service Research (JOURNAL)
Journal identifiersISSN: 0148-8376 • E-ISSN: 1540-7314
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/01488376.2024.2388627
OpenAlexW4401525257
LanguageEN
References cited55

This study aims to increase understanding of accessing social services for older adults with complex needs. Individual interviews (18) with older clients of gerontological social work and diaconal social work in Finland were analyzed using abductive content analysis. The conceptual framework of access to services, consisting of five interrelated dimensions by Penchansky and Thomas (Citation1981) and the sixth dimension, awareness, by Saurman (Citation2016), was used as a basis for analysis and reporting of results. The findings showed that accessing services was affected by all six dimensions and factors related to both the service system and the clients. The main results showed that available services did not always meet the needs of older adults (Availability), or they did not have enough information about the services (Awareness). Attitudes toward both the service system and older adults affected their experiences (Acceptability), as well as the perceived approachability of the services (Accommodation). In addition, mobility of services and physical abilities of clients (Accessibility), together with the perceived worth of services in relation to their cost (Affordability), influenced older adults' access to services. Overall, this study emphasizes the significance of considering different aspects of access in service design and policies for services for older adults

Accommodation · Business · Dimension (graph theory · Perspective (graphical · Service (business · Social Welfare · Computer Science · Geriatric Care and Nursing Homes · Health disparities and outcomes · Intergenerational Family Dynamics and Caregiving · Marketing · Medicine · Psychology · Gerontology · Social Work

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    Open Access•Mojtaba Vaismoradi, Jacqueline Jones et al.•Journal of Nursing Education and…•2016

  • Improving access

    Open Access•Emily Saurman•Journal of Health Services…•2016

  • The meaning and the measure of health literacy

    David W Baker•Journal of General Internal…•2006

  • Systematic methodological review

    Open Access•Hanna Kallio, Anna‐maija Pietilä et al.•Journal of Advanced Nursing•2016

  • Patient-centred access to health care

    Open Access•Jean-Frédéric Levesque, Mark F Harris et al.•International Journal for Equity…•2013

  • Looking for the Easy Way Out

    Open Access•Teppo Kröger•Aging Welfare and Social Policy•2019

  • Care Poverty

    Open Access•Teppo Kröger•Care Poverty•2022

  • Language differences in qualitative research

    Open Access•Fenna van Nes, Tineke Abma et al.•European Journal of Ageing•2010

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    Open Access•Martha Paisi, Neeltje Crombag et al.•Health Expectations•2022

  • Perceived Barriers to Health Care Access Among Rural Older Adults

    Open Access•R Turner Goins, Kimberly A Williams et al.•The Journal of Rural Health•2005

  • Uncovering familialism

    Fiona Morgan, Minna Zechner•International Journal of Care and…•2021

  • Community Care for People with Complex Care Needs

    Open Access•Kerry Kuluski, Julia Ho et al.•International Journal of…•2017

  • What happens to quality in integrated homecare? A 15-year follow-up study

    Open Access•Soili Paljärvi, Sari Rissanen et al.•International Journal of…•2011

  • The Over 75 Service

    Open Access•Julie Macinnes, Julia Baldwin et al.•International Journal of…•2020

  • Complex needs and ethical dilemmas—Care managers processing older clients to gerontological social work

    Open Access•Riitta‐liisa Kinni, Elisa Tiilikainen•International Journal of Social…•2024

  • They’re always in a hurry” – Older people ́s perceptions of access and recognition in health and social care services

    Open Access•Elisa Tiilikainen, Anneli Hujala et al.•Health & Social Care in the…•2019

  • These devices have not been made for older people's needs” – Older adults' perceptions of digital technologies in Finland and Ireland

    Open Access•Jari Pirhonen, Luciana Lolich et al.•Technology in Society•2020

  • Mental Health Services Structure

    Daniel Velez Ortiz•Journal of Social Service Research•2015

  • Eldercare Service Redesign in Finland

    Anneli Anttonen, Olli Karsio•Journal of Social Service Research•2016

  • Individual- and Contextual-Level Factors Affecting the Use of Social Support Services among Older Adults

    Lindsey M Mcdougle, Seth J Meyer et al.•Journal of Social Service Research•2018

  • Using Private Social Care Services in Finland

    Jiby Mathew Puthenparambil, Teppo Kröger•Journal of Social Service Research•2016

  • Gerontological Social Work

    Mo Ray, Alisoun Milne et al.•The British Journal of Social Work•2015

  • Social Protection of Older People in Finland from the Eighteenth to the Twenty-First Centuries

    Päivi Topo•The British Journal of Social Work•2011

  • The Concept of Access

    Roy Penchansky, J W Thomas•Medical Care•1981

  • Equity of access to health care services

    Open Access•Maria Goddard, Peter Smith•Social Science & Medicine•2001

  • The evolving concept of health literacy

    Open Access•Don Nutbeam•Social Science & Medicine•2008

  • Marketisation of Nordic Eldercare - Is the Model Still Universal

    Open Access•Linda Moberg•Journal of Social Policy•2017

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