摘要:

AbstractThe recent community care reforms have placed a high premium on interagency collaboration between health and social care agencies to ensure the delivery of high quality services to users. An examination of the historical record reveals the problematic nature of such activity. This paper provides a review of this record and then illustrates contemporary inter‐agency issues through an analysis of a local experiment in joint service delivery in Leeds (UK). The paper's examination of the literature on joint working provides some clues as to why the experiment's original aims and objectives remained largely unrealized. The difficulties encountered by the key actors were a mix of cultural, professional and organizational factor

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00174.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractA questionaire survey of practice nurses was carried out in a health district. Sixty‐three out of 86 nurses responded. In choosing a job in general practice, nurses were leaving the hierarchy of hospital nursing and looking forward to more autonomy and teamwork. However, the latter aspiration did not seem to be realized and a considerable proportion of nurses perceived poor support from their general practitioner (GP) colleagues. This study suggests that practice nurses seem to be involved more in task substitution rather than teamwork, despite conventional GP rhetoric in support of the latte

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00175.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractA study of 93 households containing only people over 75 indicated that 74% chose to buy some form of care from the private or voluntary sector. The study included households in a middle class and a working class ward of an outer‐London borough where few elderly people had children or other relatives living within walking distance. More private services were available in the middle class area but frail elderly people who needed services, such as cleaning, gardening, grocery delivery or car hire, as necessities had to compete with younger, very much more affluent households who bought the services as amenities. Personal care was less used by those interviewed, but 28 people paid for chiropody, either because they were ineligible for a free service or because the free service was inadeaquate for their needs. Paying for care did not bring market power. Elderly people were marginal customers and usually did not feel able to complain if they got poor service. The study indicates that there is a demand for care which helps frail elderly people to continue as respectable members of their communities. At present these services are not provided by the state and are in short supply in less affluent areas. Community care policies which were user‐led, or which aimed at preventive care, would expand the provision of such servi

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00176.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractIt is more than a decade since Vietnamese refugees arrived in Britain in any considerable numbers, but there is evidence that they are still disadvantaged in terms of employment, housing and health. Although several studies were carried out by the various agencies concerned with Vietnamese refugees in the years immediately after 1980, the year with most admissions to Britain, there has been little recent research which addresses the health care needs of this community. This paper reports a survey of the primary health care needs of a sample of Vietnamese families living in the London Borough of Greenwich.Respondents were satisfied in general with health services they received but there were specific areas of dissatisfaction and concern. The majority of respondents needed an interpreter when visiting their general practitioner (GP) and lack of access to formal interpreters was a barrier to the use of many primary care services. An additional barrier to services such as ophthalmic care, which may not have been experienced before arrival in Britain, was lack of information. High immunization and GP registration rates suggest that Western primary care services were widely accepted. However, a third of the respondents used traditional practitioners and medicines not covered by the National Health Service (NHS).

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00177.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractThere has been increasing interest in the views of service users within the National Health Service (NHS). This exploratory study used tape recorded semi‐structured interviews with users (31) attending one psychiatric day hospital. It sought to elicit information about the service users perceptions of their attendance.The service users indicated that they saw the day hospital as providing social contact with others, and that it taught them strategies of how to cope with their disorder. Many of them indicated that social isolation from the ‘outside world’ was their predominate problem. Some appeared to have become reliant on the day hospital for the social contacts that it provided.This paper argues that dependence on the day hospital can be seen as simply part of the process of being a psychiatric day pa

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00178.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00179.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Book Reviews in this ArticleReview article: Older people and ageingSevere Learning Disabilities and Challenging BehaviourDementia: New Skills for Social WorkersRationing of Health and Social CareOrganizing and Organization: an IntroductionEssential Public Health Medicine

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00180.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0966-0410    

DOI:10.1111/j.1365-2524.1994.tb00181.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY