Availability and Choice of Care

2012 ◽  
Author(s):  
Sergi Jiménez-Martín ◽  
Raquel Vegas Sánchez
Keyword(s):  
2017 ◽  
Vol 39 (2) ◽  
pp. 277-306 ◽  
Author(s):  
SARAH HILLCOAT-NALLÉTAMBY

ABSTRACTThis article aims to encourage critical reflection about the limitations of the rational choice approach as an explanatory insight to understanding older people's choice-making about their health or social care requirements. It develops an interpretive framework examining how older people engage in the process of choice-making when selecting a care option. Choice-making is conceptualised as a temporal, processual phenomenon, influenced by others, and characterised by an individual's behavioural responses to changing circumstance and lifecourse events. Data are from qualitative interviews with 29 older adults whose choice of care option involved moving to an extra-care setting in Wales (United Kingdom). Transcripts were coded using in-case and constant-comparison approaches, and analysis was undertaken using concepts ofengagementandtemporalityas elements of the choice-making process. Using an inductive approach, a typology of six different ‘pathways to choice’ of care setting was identified; these findings suggest that choosing a care option in later life is a diverse, interactive and time-bound social phenomenon, inadequately captured by the rational choice approach where it is understood more as an individualised, linear and logical process. Recognising that choice-making evolves through time as part of a process shaped by others means service providers will be better positioned to offer opportunities for more preventative-focused interventions which empower older consumers to make planned and informed choices about care options.


PEDIATRICS ◽  
1969 ◽  
Vol 44 (3) ◽  
pp. 338-347
Author(s):  
Chandrakant P. Shah ◽  
Demetrios Papageorgis ◽  
Geoffrey C. Robinson ◽  
Claire Kinnis ◽  
Sydney Israels

In a population of hospitalized children, 45% of the 611 parents whose children qualified for day care stated they would have preferred day care if such an alternative had been available at the time and if the choice of type of care had been left to them. Factors which seemed related to the parents' choice of care were the child's age, the distance from home to hospital, the parents' education, the parents' perception of the degree of safety afforded by hospitalization, and the ability to make the necessary arrangements to care for the child at home following day care. No relationship was found between parental choice of care and such variables as type of day care recommended (medical or surgical), sex of child, number of employed family members, occupational class, and family income.


1996 ◽  
Vol 58 (3) ◽  
pp. 759 ◽  
Author(s):  
Anne S. Johansen ◽  
Arleen Leibowitz ◽  
Linda J. Waite
Keyword(s):  

1987 ◽  
Vol 4 (2) ◽  
pp. 91-96 ◽  
Author(s):  
NIELS BENTZEN ◽  
TERKEL CHRISTIANSEN ◽  
KJELD MØLLER PEDERSEN

2017 ◽  
Vol 36 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Lena M. Chen ◽  
Edward C. Norton ◽  
Mousumi Banerjee ◽  
Scott E. Regenbogen ◽  
Anne H. Cain-Nielsen ◽  
...  
Keyword(s):  

2010 ◽  
Vol 19 (3) ◽  
pp. 417-421 ◽  
Author(s):  
JACOB APPEL

Approximately one in three American adults has executed a living will or healthcare declaration stating personal preferences regarding medical treatment in the event that he or she becomes terminally ill and unable to communicate. This figure stands in striking contrast to the 90% of Americans who, when asked, express specific wishes regarding their choice of care under such circumstances. Congress attempted to increase the number of Americans with advance directives when it passed the Patient Self Determination Act in 1990, billed at the time as the “Miranda Warning” of medicine, which requires hospitals and nursing homes receiving federal funds both to inform patients of their right to refuse life-sustaining care and to record all written directive in patients’ charts.


1994 ◽  
Vol 10 (4) ◽  
pp. 259-260
Author(s):  
Richard L. Stieg
Keyword(s):  

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