کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4197787 1278999 2015 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The 3 A's of the access process to long-term care for elderly: Providers experiences in a multiple case study in the Netherlands
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
The 3 A's of the access process to long-term care for elderly: Providers experiences in a multiple case study in the Netherlands
چکیده انگلیسی

The access process is an important step in the care provision to independently living elderly. Still, little attention has been given to the process of access to long-term care for older clients. Access can be described by three dimensions: availability, affordability and acceptability (three A's).In this paper we address the following question: How do care providers take the three dimensions of access into account for the access process to their care and related service provision to independently living elderly?To answer this question we performed a qualitative study. We used data gathered in a multiple case study in the Netherlands.This study provides insight in the way long-term care organizations organize their access process. Not all dimensions were equally present or acknowledged by the case organizations. The dimension acceptability seems an important dimension in the access process, as shown by the efforts done in building a relationship with their clients, mainly through a strong personal relationship between client and care advisor. In that respect it is remarkable that the case organizations do not structurally evaluate their access process. Availability is compromised by practical issues and organizational choices. Affordability hardly seems an issue. Further research can reveal the underlying factors that influence the three A dimensions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health Policy - Volume 119, Issue 1, January 2015, Pages 17–25
نویسندگان
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