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Centre for Policy on Ageing | |
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| Falling through the net of stroke care | | Author(s) | Freda Mold, Charles Wolfe, Christopher McKevitt |
| Journal title | Health & Social Care in the Community, vol 14, no 4, July 2006 |
| Pages | pp 349-356 |
| Source | www.blackwellpublishing.com/hsc |
| Keywords | Stroke ; Medical care ; Usage [services] ; Accessibility ; Qualitative Studies ; London. |
| Annotation | The provision of healthcare services has been shown to differ by social characteristics such as gender, age and social status. The processes by which such differences arise are unclear. The authors report findings from a qualitative interview study with stroke service providers undertaken during an investigation of inequalities in stroke care. 41 professionals from hospital and community settings in south London were interviewed. Participants' accounts are used to explore how it is that patients' trajectories of care might not follow evidence-based guidelines, focusing on stroke unit admission, provision of hospital rehabilitation therapies, and community health and social services. Categories of patients who might not receive best care were those who were cognitively impaired, those regarded as having 'complex problems', those with communication problems, and younger people. Additionally, the local availability of services was thought to affect individuals' chances of receiving particular components of care. Although professionals spoke of certain types of patients as 'falling through the net' (of services), their accounts suggest that they channel patients through services according to an implicit template of the individual suited to the service. Those who do not fit the service as currently resourced may have reduced access to specific components of care. If inequalities in access to care are to be tackled, a better understanding is required of how professionals' decision-making processes test the fit between service users and the implicit template of 'suitable' patient or client. (RH). |
| Accession Number | CPA-060918204 A |
| Classmark | CQA: LK: QLD: 5CA: 3DP: 82L |
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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