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Centre for Policy on Ageing | |
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Prevention developing a framework for conceptualizing and evaluating outcomes of preventive services for older people | Author(s) | Mary Godfrey |
Journal title | Health & Social Care in the Community, vol 9, no 2, March 2001 |
Pages | pp 89-99 |
Keywords | Services ; Health services ; Biological ageing ; Preventative medicine ; Evaluation. |
Annotation | While policy makers and commissioners have a growing preoccupation with developing preventive strategies and services, there is simultaneous concern with evidence-based purchasing and provision within health and social care. This paper seeks a way of locating prevention within a theoretical model of successful ageing. This conceptualises ageing as involving adaptation in the changing balance between gains and losses over the life course. The paper then identifies necessary elaborations of the model to take into account the wider cultural and socio-economic context. This shapes and constrains the goals pursued and the resources available in adapting particular adaptation strategies. Within the model, preventive services may be conceived as resources to be drawn upon to support compensatory strategies. Similarly, outcomes and effectiveness of services may be evaluated in terms of whether they facilitate or allow older people to achieve valued goals. The contribution made by specific services in optimising gains and compensating for the losses that accompany ageing are explored in respect of two areas ripe for secondary prevention services and strategies: bereavement and instrumental support in the home. (RH). |
Accession Number | CPA-010511210 A |
Classmark | I: L: BH: LK2: 4C |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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