| |
Centre for Policy on Ageing | |
 | |
|
| The use of pluralistic evaluation to explore people's experiences of stroke services in the community | | Author(s) | Elizabeth Hart |
| Journal title | Health & Social Care in the Community, vol 7, no 4, July 1999 |
| Pages | pp 248-256 |
| Keywords | Stroke ; Informal care ; Health services ; Social Services Departments ; Interaction [welfare services] ; Evaluation ; Pilot ; Nottingham. |
| Annotation | In a study of a Pilot Community Stroke Service (PCSS) in Nottingham, the research design involved qualitative in-depth interviews with 57 stroke survivors and their carers, the PCSS team (individually and as a group), and a range of other workers. The evaluation's pluralistic approach revealed that tensions and social conflicts at the interface between services - particularly between health and social care services - had a negative impact on the quality of life of clients and carers alike, which were experienced as "setbacks", and which could be shown to be system induced. Such system induced setbacks also had negative consequences for the PCSS team, since rather than being a "top up" service, in such cases it became a "mop up" service, compensating for the shortfall in service provision. Thus its aims and objectives could not be fully realised. Pluralistic evaluation has a number of strengths, including its attention to process and social context which revealed the existence of System Induced Setbacks and their negative and long-term impact on the daily lives of clients and carers, and on the team of PCSS, in a way that would not have been possible using a quantitative approach. (RH). |
| Accession Number | CPA-990826250 A |
| Classmark | CQA: P6: L: PF: QK6: 4C: 4UC: 8NTF |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|