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Centre for Policy on Ageing | |
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Patient views of social service provision for older people with advanced heart failure | Author(s) | Merryn Gott, Sarah Barnes, Sheila Payne |
Journal title | Health and Social Care in the Community, vol 15, no 4, July 2007 |
Pages | pp 333-342 |
Source | http://www.blackwellpublishing.com/hsc |
Keywords | Heart disease ; Patients ; Attitude ; Social Services Departments ; Usage [services] ; Participation ; Social surveys. |
Annotation | Levels of social service provision, the barriers to receiving these services, and the experiences of social service provision among older people with heart failure are explored. 542 people aged 60+ with heart failure were recruited from general practices in four areas of the UK, and these subjects completed quality of life and service use questionnaires every 3 months for 24 months, or until death. 40 patients participated in in-depth interviews. Data collection was conducted between September 2003 and March 2006. Only 127 (24%) of the 460 participants who had provided information about social services contact reported having received social services during the past 24 months. Significant associations between the level of social service contact and participant characteristics were identified, with women, those aged 75+, those living alone, and those with two or more comorbidities being more likely to report receipt of social services. The qualitative data identified key barriers to using social services, including access problems, not wanting additional help, the negative experience of friends, and carers substituting for statutory services. The few participants interviewed who had received social services reported mixed experiences, including problems with inappropriate and insufficient services. This study indicates that only a minority of older people with heart failure have contact with social services. Improving provision for this group involves tackling the barriers to access identified above, as well as insuring that their views influence service planning and delivery. (RH). |
Accession Number | CPA-070814210 A |
Classmark | CQH: LF: DP: PF: QLD: TMB: 3F |
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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