Contradictions in the development of new hospices: A case study
Despite a decade of concern about the 'mushrooming' of new hospice developments within the British Isles, we remain remarkably ignorant about the processes which lead to the initiation of new hospice projects and the factors which affect their progress. Three inter-related issues appear important: (1) policy and resource implications; (2) changing models of hospice care; (3) 'community' factors. This paper explores the interconnections between these, using a case study approach and describes in detail the efforts of a single local voluntary group to establish a programme of community care for dying people. It shows that: (1) local 'communities' are likely to make continued demands for hospice type care, despite official scepticism about proliferation; but also that these communities should not be seen as homogeneous in their aspirations and demands; (2) new models of community care will interact with wider policy changes in the NHS and Social Services to raise questions about how terminal care services can be further developed; (3) shifts away from traditional in-patient models of care are likely to high-light divisions between 'lay' and 'professional' groups in their perceptions of how services can be delivered.
Year of publication: |
1991
|
---|---|
Authors: | Clark, David |
Published in: |
Social Science & Medicine. - Elsevier, ISSN 0277-9536. - Vol. 33.1991, 9, p. 995-1004
|
Publisher: |
Elsevier |
Subject: | hospices terminal care health policy |
Saved in:
Online Resource
Saved in favorites
Similar items by person
-
Clark, David, (1989)
-
Regulation when platforms are layered
Lehr, William, (2019)
-
Lehr, William, (2018)
- More ...