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Title: Towards improving quality of life for the dependent elderly and their carers
Author: Philp, Ian
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1991
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The aims of this thesis were to describe views of the dependent elderly and their carers about long-term care services, and to explore ways in which a more consumer-oriented approach to the delivery of services might influence the outcomes of care. Taking the results of the studies together, the following conclusions were reached:- (1) Consumers lack information about long-term care services (2) Perceived unmet needs for services are modest, but specific (3) Evaluation of long term care services from a consumer perspective is possible using a variety of approaches (4) There is considerable scope to change practice towards improving quality of life of the dependent elderly and their carers (5) There is no evidence that a consumer-oriented approach leads to unmanageable demand for resources, at least in the short term. Incidental findings included:- (1) A primary care team's support to the carers of the demented elderly was inadequate not because of failure to identify cases, but by failure to support known cases. (2) The level of community support to its perceived adequacy by carers did not affect the likelihood of institutionalization of elderly patients following admission to acute hospital care. However, carers were accurate in their predictions of that outcome, and carers quality of life improved most for those who had greatest proximity to dependents. (3) There was a large overlap of dependency between geriatric and psychogeriatric patients in long term hospital care suggesting an illogical adminstrative structure. (4) There was lower patient dependency, cost of care (to the taxpayer) and higher nurse morale in nursing homes than in long-term hospital wards, but quality of life appeared to depend on factors operating at the level of the individual homes or wards, rather than which sector provided care.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available