This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Baker, D. I. Articles by Pallett-Hehn, P. Search for Related Content Social Bookmarking                   What's this?

Care or Control: Barriers to Service Use by Elderly People

Yale University

Phyllis Pallett-Hehn

Yale University

This article presents descriptive findings from a 3-year project that examined barriers to receiving effective health care service from the viewpoint of elderly people living in an inner city. The convenience sample consists of 38 elderly people identified by clinicians providing hospital and community care as at risk of institutionalization. Based on the elderly persons' descriptions of their problems, these clinicians developed innovative strategies for making the service delivery system more responsive. Individual situations were reviewed retrospectively to identify trends in the types of barriers to effective service delivery. McKnight's paradigm, contrasting human interactions in a control model to those where participation occurs by consent, was found useful in conceptualizing barriers to effective care, as exemplified by these individual situations Previous care, which the elderly people perceived as controlling, contrasted sharply with their expectations for full participation in the definition of both problems and solutions. Thus clmical practice and the research focus of the project evolved to offer elderly people assistance in ways that facilitated their full participation.

Journal of Applied Gerontology, Vol. 14, No. 3, 261-274 (1995)
DOI: 10.1177/073346489501400302


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				L. A. Strain and A. A. Blandford Community-Based Services for the Taking but Few Takers: Reasons for Nonuse Journal of Applied Gerontology, June 1, 2002; 21(2): 220 - 235. [Abstract] [PDF]

				W. J. McAuley, P. B. Teaster, and M. P. Safewright Incorporating Feminist Ethics Into Case Management Programs Journal of Applied Gerontology, March 1, 1999; 18(1): 3 - 24. [Abstract] [PDF]