| |
| |
| |
Centre for Policy on Ageing | |
 | |
|
Ageism and age discrimination in secondary health care in the United Kingdom
— a review from the literature; commissioned by the Department of Health | | Corporate Author | Centre for Policy on Ageing - CPA |
| Publisher | Centre for Policy on Ageing, London, December 2009 |
| Pages | 73 pp (+ 56 pp appendices) |
| Source | Centre for Policy on Ageing, 25-31 Ironmonger Row, London EC1V 3QP. Available at: http://www.cpa.org.uk/information/reviews/reviews.... |
| Keywords | Ageism ; Hospital services ; Medical care ; Costs [care] ; Literature reviews. |
| Annotation | The Department of Health (DH) commissioned the Centre for Policy on Ageing (CPA) to undertake four separate reviews from the literature to provide evidence of ageism and age discrimination in the UK in social care, secondary health care, mental health services, and primary health care. This review of secondary health care is a rapid semi-systematic literature based review, which considers ageist attitudes in healthcare and older patients' experiences of hospital care. It reviews areas of discrimination in the treatment of particular conditions, and comments that it is common for older people to be excluded from clinical trials. Discussion on use of quality adjusted life years (QALYs) by the National Institute for Health and Clinical Excellence (NICE) concludes that expert opinion is divided. However, there is general consensus that appropriate education and training would root out ageism in the NHS. The review concludes that there is evidence of under-investigation and under-treatment, and indications of indirect discrimination against older people through inadequate provision of necessary hospital services. However, cases of explicit, direct discrimination in secondary health care policy have been rare since publication of the National Service Framework for Older People (NSF) in 2001. Appendix 1 (6 pp), on methodology, notes search strategies and processes, and the search results for the databases searched. Appendix 2 (50 pp), a bibliography, lists all items found; key items cited are also listed at the end of the main report. This review has been conducted in the context of the European Commission Draft Directive COM (2008) 425 (July 2008) and the introduction of the Equality Bill to Parliament (April 2009); and it has also informed 'Achieving age equality in health and social care' (2009), the review led from the South West region by Sir Ian Carruthers and Jan Ormondroyd. (RH). |
| Accession Number | CPA-100129003 E |
| Classmark | B:TOB: LD: LK: QDC: 64A |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|
|