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The challenges associated with providing community care for people with complex needs in rural areas: a qualitative investigation

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McCann, S, Ryan, AA and McKenna, Hugh (2005) The challenges associated with providing community care for people with complex needs in rural areas: a qualitative investigation. HEALTH & SOCIAL CARE IN THE COMMUNITY, 13 (5). pp. 462-469. [Journal article]

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Abstract

The aim of the present study was to explore the experiences of recipients and providers of community care in rural areas in Northern Ireland. Additionally, the authors sought to examine the impact of location, housing and environmental factors on the delivery of community care to older people with complex needs. Individual, semistructured interviews were held with service users (n = 17) and family carers (n = 14). Individual and focus group interviews were conducted with care assistants, health and social care professionals, and senior managers from a large health and social care trust and health and social services board in Northern Ireland. The importance of enabling older people to remain in their own homes and communities was emphasised by all participants. The main challenges associated with care provision in rural areas included: difficulties recruiting care assistants; lack of choice of care assistants; isolation; travel and distance between clients and their care assistants; and poor housing conditions. There was a general consensus among participants that the effectiveness of rural community care was perceived to be reliant upon the goodwill of the community. Additionally, changing demographic trends and the predicted shortfall in the number of formal and informal carers were considered key issues for service planners. A number of creative strategies could be used to address many of the limitations associated with rural isolation. These should involve capitalising on available community networks. However, planners should also acknowledge that additional resources are required to maintain older people in rural communities.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Institute of Nursing and Health Research
Psychology Research Institute
Institute of Nursing and Health Research > Person-centred Practice
Psychology Research Institute > The Bamford Centre for Mental Health and Wellbeing
Psychology Research Institute > Psychological Epidemiology and Mental Health
ID Code:1979
Deposited By:Mrs Fiona Harkin
Deposited On:14 Dec 2009 14:51
Last Modified:15 Apr 2014 15:24

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