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The development of integration in the elderly care sector: a qualitative analysis of national policies and local initiatives in France and Sweden.
- Source :
- Ageing & Society; May2019, Vol. 39 Issue 5, p1022-1049, 28p
- Publication Year :
- 2019
-
Abstract
- Due to a significant increase in the complexity of the care demands of older people having multiple care needs, the necessity for integrated care is increasingly acknowledged. Proposing a qualitative approach based on a secondary literature analysis and an empirical survey, this paper explores the integration policy of health and social care for older people having complex needs in two European countries – France and Sweden – where various policy measures aiming at developing and delivering integrated care can be identified: at the national level, through the supportive measures of organisational, institutional and/or professional integration from central government, and at the local level, with the implementation of concrete integrative initiatives. Using a comparative qualitative approach, the authors investigate both of these levels, as well as the interplay between them. They show the importance of this double – local and national – approach of the issue of integration and highlight the continuous negotiation process which underlies the integration activities. Local integration initiatives are in fact constantly reshaped by top-down and bottom-up dynamics which appear to be strongly interconnected. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 0144686X
- Volume :
- 39
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Ageing & Society
- Publication Type :
- Academic Journal
- Accession number :
- 135402948
- Full Text :
- https://doi.org/10.1017/S0144686X17001350