Challis, D.J. and Darton, R.A. and Stewart, K. (1998) Linking Community Care and Health Care: A New Role for Secondary Health Care Services. In: Challis, D. and Darton, R.A. and Stewart, K., eds. Community Care, Secondary Health Care and Care Management. Ashgate, Aldershot, pp. 149-170. ISBN 1840145811.
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<p>The provision of effective long-term care at home for frail older people requires planned and coordinated inputs from health and social care agencies. This is evident from a range of research studies (see, for example, Challis et al., 1995) which indicate the interplay between social care needs and clinical phenomena, and which have been reinforced by policy guidance. For example, although the level of functional impairment is an important influence upon the probability of placement in residential settings, so too is the presence of certain diagnoses (Tsuji et al., 1995; Darton et al., 1997). Rockwood et al. (1996) found that entry to a long-term care facility was associated not only with social factors and functional difficulties, such as female gender, being unmarried, the absence of a caregiver, the presence of cognitive impairment and functional impairment, but also with clinical diagnoses, such as diabetes mellitus, stroke and Parkinson's disease. They concluded that frailty is multidimensional and not simply a synonym for dependence in activities of daily living. Furthermore, the importance of the psychosocial needs of older people and their carers as determinants of placement has been identified in several studies (Jorm et al., 1993; Tsuji et al., 1995). For some individuals, particularly those with complex needs, a primary health care-led NHS may be insufficient, lacking both the range and depth of response necessary. The key question, therefore, is how to combine what kinds of inputs, whether primary or secondary, health or social, for which individuals, in what ways.
|Item Type:||Book section|
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit|
|Depositing User:||Rosalyn Bass|
|Date Deposited:||20 May 2011 14:30|
|Last Modified:||25 Apr 2012 08:57|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/26449 (The current URI for this page, for reference purposes)|
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