Mention du Processus de production du handicap dans un article publié dans la revue « Leadership in Health Services »

1 jan 1970

Le Réseau international sur le Processus de production du handicap (RIPPH) souhaite vous informer de la récente parution de l'article « Match between needs and services for participation of older adults receiving home care: Appraisals and challenges » dans la revue Leadership in Health Services. Il mentionne comment une meilleure prise en compte de l'ensemble des activités courantes et des rôles sociaux des aînés permet d'assurer de répondr eplus adéquatement à leurs besoins.    

RÉSUMÉ

Purpose - To explore the match between needs and services related to participation for frail older adults receiving home care.

Design/methodology/approach - A qualitative multiple case study was conducted with eleven triads each involving an elder, a caregiver and a healthcare provider working in a Health and Social Services Center (HSSS).

Findings - Although HSSCs in Québec are supposed to promote social integration and participation of older adults, services provided to the older adults in this study focused mainly on safety and independence in personal care, dressing, mobility and nutrition, without fully meeting older adults’ needs in these areas. Discrepancies between needs and services may be attributable to: i) the assessment not covering all the dimensions of social participation or accurately identifying older adults’ complex needs; ii) older adults’ and their caregivers’ difficulties identifying their needs and accepting their limitations and the assistance offered; iii) healthcare providers’ limited knowledge and time to comprehensively assess needs and provide services; iv) guidelines restricting the types and quantity of services to be supplied; and v) limited knowledge of older adults, caregivers and healthcare providers about services and resources available in the community.

Originality/value - To improve and maintain older adults’ participation, a more thorough assessment of their participation, especially in social activities, is required, as is greater support for older adults and their families in using available community resources. It is also important to review the services provided by HSSCs and to optimize partnerships with community organizations.

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