scholarly journals Framing scandalous nursing home care: what is the problem?

2014 ◽  
Vol 36 (2) ◽  
pp. 400-419 ◽  
Author(s):  
HÅKAN JÖNSON
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Older People ◽  
Social Movement ◽  
Analytical Tool ◽  
Nursing Home Care ◽  
Care Services ◽  
Care Recipients ◽  
Care For Older People

ABSTRACTThe aim of this article is to investigate different ways in which nursing home scandals in Sweden have been framed, to discuss the relations between these existing frameworks, and to identify ways of describing the problem that are absent in the current debates. Data for the study consisted of media articles, television documentaries and internet debates, expert reports and court hearings, and interviews with representatives of organisations dealing with the issue of mistreatment in care services for older people. An analytical tool developed within social movement research was used to identify three ‘debates’ on such mistreatment in Sweden, where competing ways of framing the problem have been used: (a) a debate where staff are cast as either perpetrators or victims, (b) a debate on privatisation and profit as the motive for neglect of care recipients, and (c) a debate on deserving and non-deserving recipients of socially provided care centred around populist claims. The analysis highlights a need to introduce an alternative frame for interpretation where mistreatment in care for older people is regarded as involving scandalous cases of ageism. This anti-ageism frame would provide older people with a lead role in the drama – not just as victims but as stakeholders in relation to the problem.

Nursing home care for older people in Taiwan: a process of forced choice

2009 ◽  
Vol 18 (14) ◽  
pp. 1986-1993 ◽  
Author(s):  
Shu-Chen Wu ◽  
Alan White ◽  
Keith Cash ◽  
Sally Foster
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Older People ◽  
Forced Choice ◽  
Nursing Home Care ◽  
Care For Older People

Analysis of a territorial approach to the delivery of nursing home care services based on historical data

2006 ◽  
Vol 30 (4) ◽  
pp. 283-291 ◽  
Author(s):  
N. Lahrichi ◽  
S. D. Lapierre ◽  
A. Hertz ◽  
A. Talib ◽  
L. Bouvier
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Historical Data ◽  
Home Care Services ◽  
Nursing Home Care ◽  
Care Services ◽  
Territorial Approach

Privatization, Hybridization and Resistance in Contemporary Care Work

2020 ◽  
pp. 97-108
Author(s):  
Pat Armstrong ◽  
Donna Baines
Keyword(s):  
Nursing Home ◽  
Older People ◽  
Nursing Home Care ◽  
Non Profit ◽  
Main Form ◽  
The Uk ◽  
Market Relations ◽  
Care For Older People ◽  
Integrated Processes

This chapter identifies seven forms of overlapping and interwoven privatization. In the current era of austerity, privatization has been able to extend its reach through these integrated processes and, in some cases, operate almost by stealth as an overarching ideological force that legitimizes private-market relations in places where it once would have been thought to be contrary to a public sector ethic of entitlement and equity. This is a growing dynamic across many public and non-profit/voluntary services and organizations. The chapter discusses the seven forms of privatization in the provision of long-term residential or nursing home care for older people in Ontario, Canada and in the UK. Private ownership is commonly thought to be the only or main form of privatization, but austerity analyses can be more incisive and specific, with a greater awareness of the complexity and multiplexity of the forms of privatization operating within formerly public and non-profit spaces. The chapter then looks at resistance in the sphere of care for older people, some of which has been successful.

scholarly journals The challenges of commissioning home care for older people in England: commissioners’ perspectives

2020 ◽  
pp. 1-20 ◽  
Author(s):  
Karen Davies ◽  
Elizabeth Dalgarno ◽  
Susan Davies ◽  
Amy Roberts ◽  
Jane Hughes ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Home Care Services ◽  
Market Model ◽  
Local Context ◽  
Care Providers ◽  
Local Authorities ◽  
Telephone Interviews ◽  
Care Services ◽  
Care For Older People

Abstract Home care for older people in England is commissioned through local authorities working predominantly with independent providers of care. Commissioners operate in a market model, planning and procuring home care services for local populations. Their role involves ‘managing’ and ‘shaping’ the market to ensure an adequate supply of care providers. Another imperative, emerging from the principles of personalisation, is the drive to achieve user outcomes rather than ‘time and task’ objectives. Little formal research has investigated the way commissioners reconcile these different requirements and organise commissioning. This study investigated commissioning approaches using qualitative telephone interviews with ten commissioners from different local authorities in England. The characteristics of commissioning were analysed thematically. Findings indicated (a) commissioning involved complex systems and processes, uniquely shaped for the local context, but frequently changed, suggesting a constant need for reframing commissioning arrangements; (b) partnerships with providers were mainly transactional, with occasional examples of collaborative models, that were considered to facilitate flexible services more appropriate for commissioning for personalised outcomes; and (c) only a small number of commissioners had attempted to reconcile the competing and incompatible goals of tightly prescribed contracting and working collaboratively with providers. A better understanding of flexible contracting arrangements and the hallmarks of a trusting collaboration is required to move beyond the procedural elements of contracting and commissioning.

scholarly journals The ideals of group living homes for people with dementia: do they practice what they preach?

2011 ◽  
Vol 23 (9) ◽  
pp. 1526-1527 ◽  
Author(s):  
Selma te Boekhorst ◽  
Marja F.I.A. Depla ◽  
Anne Margriet Pot ◽  
Jacomine de Lange ◽  
Jan A. Eefsting
Keyword(s):  
Twentieth Century ◽  
Nursing Home ◽  
Nursing Homes ◽  
The Netherlands ◽  
Home Care ◽  
Older People ◽  
Hospital Care ◽  
Group Living ◽  
Nursing Home Care ◽  
People With Dementia

In the Netherlands, as well as in other countries, nursing home care has been traditionally modeled on hospital care. However, in the last decades of the twentieth century, realization grew that, unlike hospitals, nursing homes needed to serve as literal homes to people. As a consequence, the concept of group living homes for older people with dementia has taken root.

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