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Centre for Policy on Ageing | |
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A review and commentary of the social factors which influence stroke care issues of inequality in qualitative literature | Author(s) | Freda Mold, Christopher McKevitt, Charles Wolfe |
Journal title | Health & Social Care in the Community, vol 11, no 5, September 2003 |
Pages | pp 405-414 |
Keywords | Stroke ; Medical care ; Services ; Usage [services] ; Qualitative Studies ; Literature reviews. |
Annotation | Stroke is the third most common cause of death in the UK and a major cause of adult disability. Stroke services have long been criticised for being deficient, and there is evidence that some aspects of care provision vary across different population groups. While there is information about the patterns of service provision, questions remain about processes which might underlie these variations. This paper sought to assess how well the processes which might lead to inequity in the delivery and uptake of stroke services are currently understood, by reviewing the qualitative literature. In total, 55 articles were reviewed, including studies related to primary and secondary clinical care, as well as social care, and focusing on both professionals' and patients' perspectives. The review reports the cultural factor and processes identified as possible causes of barriers to service delivery and uptake. Issues identified were categorises into four broad areas: conceptualisations of stroke illness and ageing; socioeconomic factors; resource allocation; and information provision. These themes are revisited through the hypothesis that the concept of social and personal identity could cast new light on our understanding of how inequity of stroke care provision might arise. (RH). |
Accession Number | CPA-030930207 A |
Classmark | CQA: LK: I: QLD: 3DP: 64A |
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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