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Social impact bonds in the UK homeless sector: perspectives of front-line link workers 英国无家可归者部门的社会影响债券:一线链接工人的观点
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-11-18 DOI: 10.1108/hcs-08-2020-0011
Thomas J. George, J. Rogers, Amanda Roberts
PurposeSocial impact bonds (SIBs) have become a favoured way to fund public services, including housing, prison and homelessness projects, in an era of austerity. In a growing critical literature on SIBs, a largely absent voice is that of the link worker. This paper aims to focus on the views of link workers in a SIB funded project which works with long-term entrenched rough sleepers in the East of England.Design/methodology/approachInterviews with link workers were conducted with a thematic analysis echoing many of the views expressed in the critical literature not only about the problems but also some of the advantages that SIBs offer to this type of project.FindingsThree key themes were discomfort with the funding mechanism; flexible and innovative interventions that SIBs make possible; and problems with the outcome measures that trigger payments. This study concludes that if SIBs are to achieve their promise of providing funding which leads to effective solutions to deeply ingrained social problems, there needs to be more careful evaluation of their true benefits in comparison to publicly funded projects, adoption of more appropriate and project-specific outcome measures and a much clearer explanation and justification of the way in which SIB funding works.Originality/valueFew studies have specifically explored the perceptions of front-line link workers in the homelessness sector. This study highlights not only the concerns but also the benefits associated with the use of SIB as a funding mechanism within the homelessness sector.
目的社会影响债券(sib)已成为一个受欢迎的方式来资助公共服务,包括住房,监狱和无家可归的项目,在一个紧缩的时代。在越来越多关于sib的批评性文献中,一个基本缺失的声音是链接工作者的声音。这篇论文的目的是集中在一个SIB资助的项目中链接工人的观点,该项目与英格兰东部长期根深蒂固的粗糙睡眠者一起工作。设计/方法/方法与链接工人进行了访谈,并进行了主题分析,这与批评文献中表达的许多观点相呼应,这些观点不仅涉及问题,还涉及sib为这类项目提供的一些优势。三个关键主题是对筹资机制的不满;sib使灵活和创新的干预措施成为可能;以及触发支付的结果衡量标准的问题。本研究的结论是,如果SIB要实现其提供资金的承诺,从而有效解决根深蒂固的社会问题,就需要更仔细地评估其与公共资助项目相比的真正效益,采用更适当和具体项目的结果衡量标准,并更清楚地解释和证明SIB资助的运作方式。独创性/价值很少有研究专门探讨了无家可归者部门一线联系工人的看法。这项研究不仅突出了关注的问题,而且还突出了利用社会福利机构作为无家可归者部门的筹资机制所带来的好处。
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引用次数: 4
Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel 在无家可归的人群中,过早衰弱、老年状况和多病:伦敦一家旅馆的横断面观察研究
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-09-24 DOI: 10.1108/HCS-05-2020-0007
R. Rogans-Watson, C. Shulman, D. Lewer, Megan Armstrong, B. Hudson
The purpose of this paper is to assess frailty, geriatric conditions and multimorbidity in people experiencing homelessness (PEH) using holistic evaluations based on comprehensive geriatric assessment (CGA) and draw comparisons with general population survey data.,Cross-sectional observational study conducted in a London-based hostel for single PEH over 30 years old in March–April 2019. The participants and key workers completed health-related questionnaires, and geriatric conditions were identified using standardised assessments. Frailty was defined according to five criteria in Fried’s phenotype model and multimorbidity as the presence of two or more long-term conditions (LTCs). Comparisons with the general population were made using data from the English Longitudinal Study of Ageing and the Health Survey for England.,A total of 33 people participated with a mean age of 55.7 years (range 38–74). Frailty was identified in 55% and pre-frailty in 39%. Participants met an average of 2.6/5 frailty criteria, comparable to 89-year-olds in the general population. The most common geriatric conditions were: falls (in 61%), visual impairment (61%), low grip strength (61%), mobility impairment (52%) and cognitive impairment (45%). All participants had multimorbidity. The average of 7.2 LTCs (range 2–14) per study participant far exceeds the average for even the oldest people in the general population.,To the best of authors’ knowledge, this is the first UK-based study measuring frailty and geriatric conditions in PEH and the first anywhere to do so within a CGA-type evaluation. It also demonstrates the feasibility of conducting holistic evaluations in this setting, which may be used clinically to improve the health outcomes for PEH.
本文的目的是利用基于综合老年评估(CGA)的整体评估来评估无家可归者(PEH)的脆弱性、老年状况和多病性,并与一般人口调查数据进行比较。2019年3月至4月,在伦敦一家旅馆对30岁以上的单身PEH进行了横断面观察研究。参与者和主要工作人员完成了与健康相关的问卷调查,并使用标准化评估确定了老年状况。在弗里德的表型模型中,虚弱是根据五个标准定义的,多病是指存在两种或两种以上的长期疾病(LTCs)。与普通人群的比较使用了英国老龄化纵向研究和英格兰健康调查的数据。共有33人参与,平均年龄55.7岁(38-74岁)。体弱多病的比例为55%,体弱多病前的比例为39%。参与者平均达到2.6/5的虚弱标准,与89岁的普通人群相当。最常见的老年疾病是:跌倒(61%)、视力障碍(61%)、握力低(61%)、行动障碍(52%)和认知障碍(45%)。所有的参与者都有多重疾病。每个研究参与者平均有7.2个LTCs(范围2-14),远远超过了一般人群中年龄最大的人的平均水平。据作者所知,这是第一个以英国为基础的研究,测量PEH中的虚弱和老年状况,也是第一个在cga类型评估中这样做的地方。它还证明了在这种情况下进行整体评估的可行性,这可能在临床上用于改善PEH的健康结果。
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引用次数: 30
Displaced and vulnerable: a case study of “out of area” housing 流离失所者和弱势群体:“区外”住房案例研究
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-09-18 DOI: 10.1108/HCS-05-2020-0005
S. Iafrati
PurposeThe purpose of study is to explore how structural problems within housing supply and the marketisation of housing for the poorest and most vulnerable households affect households and can lead to negative outcomes for some households. The research highlights the experiences of out of area (OOA) households that can be below the radar in debates regarding housing crisis.Design/methodology/approachThe research features a case study approach focusing on the experiences of a single household, which is supplemented with an interview with the household’s local authority housing manager. Additionally, freedom of information data is used to analyse the local authority placing the household OOA. The case study is transferable and the additional evidence validates the household’s experiences.FindingsThe research finds that OOA housing can be disruptive for households and negatively affect well-being as well as facilitate social cleansing. The case study, while examining the lived experience of OOA housing, also recognises structural causes of the housing crisis within neoliberal housing policy. Furthermore, the case study recognises the positions of local authorities placing households OOA and receiving these households.Originality/valueThe research is original in using a case study to explore OOA housing. OOA housing is an under-researched area where households are not homeless but are housed in a manner detrimental to their well-being. The case study brings together interviews and freedom of information data to highlight findings currently missing in housing research.
研究的目的是探讨住房供应中的结构性问题和最贫困和最脆弱家庭的住房市场化如何影响家庭,并可能导致一些家庭的负面结果。该研究强调了在有关住房危机的辩论中可能被忽视的地区外(OOA)家庭的经历。设计/方法/方法本研究采用案例研究方法,重点关注单个家庭的经验,并辅以对该家庭当地政府住房经理的采访。此外,信息自由数据还用于分析地方当局发放家庭OOA的情况。案例研究是可转移的,额外的证据证实了家庭的经验。研究发现,OOA住房可能会对家庭造成破坏,对幸福感产生负面影响,并促进社会净化。该案例研究在考察OOA住房生活经验的同时,也认识到新自由主义住房政策中住房危机的结构性原因。此外,案例研究确认了安置OOA家庭和接收这些家庭的地方当局的立场。独创性/价值本研究的独创性在于使用案例研究来探索OOA住房。OOA住房是一个研究不足的领域,在那里,家庭不是无家可归,而是以一种不利于他们福祉的方式居住。该案例研究汇集了访谈和信息自由数据,以突出当前住房研究中缺失的发现。
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引用次数: 1
People’s perceptions of sustainable housing in developing countries: the case of Riyadh, Saudi Arabia 发展中国家人们对可持续住房的看法:以沙特阿拉伯利雅得为例
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-08-24 DOI: 10.1108/hcs-05-2020-0008
Ali M. Alqahtany
The purpose of this paper is to explore the people’s perceptions of sustainable housing in Saudi Arabia using Riyadh as a case study. Riyadh was chosen as a case study for two reasons: it is the capital city of Saudi Arabia and the largest city in the country; and there are no major differences between the characteristics of people in Riyadh and other major Saudi cities.,The questionnaire survey technique was used in this study to achieve the main purpose. The study used descriptive statistics (frequency, percentage) with the aid of the Statistical Package of Social Science Software (SPSS) to analyze the data.,The findings reveal that there is a lack of people’s awareness about the sustainable housing. However, it shows a positive response regarding people’s willingness to live in sustainable housing in the future as well as to adjust their current houses to be more environmentally friendly houses.,The thoughts of stakeholders who are involved in the housing field, including policymakers and real estate developers, are very significant, however, due to the time limitation it has not been explored in this study. Therefore, future research is recommended to investigate the opinions of different stakeholders to have better insights for delivering sustainable housing.,The study contributes to exploring the people’s perceptions of sustainable housing in Saudi Arabia using Riyadh as a case study. Only a few studies have discussed this issue, so this study was conducted to bridge this research gap and build upon the literature.
本文的目的是利用利雅得作为案例研究,探讨人们对沙特阿拉伯可持续住房的看法。利雅得被选为案例研究有两个原因:它是沙特阿拉伯的首都和该国最大的城市;利雅得人和沙特其他主要城市的人的特征没有什么大的不同。本研究采用问卷调查的方法来达到主要目的。本研究采用描述性统计(频率、百分比),借助社会科学软件统计软件包(SPSS)对数据进行分析。调查结果表明,人们对可持续住房的认识不足。然而,它显示出人们愿意在未来居住在可持续住房中,并将他们现有的房屋调整为更环保的房屋的积极反应。涉及住房领域的利益相关者,包括政策制定者和房地产开发商的想法非常重要,但由于时间限制,本研究未对此进行探讨。因此,未来的研究建议调查不同利益相关者的意见,以更好地了解可持续住房的提供。该研究以利雅得为例,探讨了沙特阿拉伯人民对可持续住房的看法。只有少数研究讨论了这个问题,所以本研究是为了弥补这一研究差距,并建立在文献基础上。
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引用次数: 11
Understanding and supporting safe walking with purpose among people living with dementia in extra care, retirement and domestic housing 理解并支持在特别护理、退休和家庭住房中生活的痴呆症患者有目的地安全行走
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-07-03 DOI: 10.1108/hcs-03-2020-0004
J. Barrett, S. Evans, Vanessa Pritchard-Wilkes
Purpose The purpose this paper is to explore walking with purpose in extra care, retirement and domestic housing settings in order to better understand and support people living with dementia in these settings, develop recommendations and inform practice. Design/methodology/approach A mixed-methods study was employed: scoping literature review; online survey of extra care and retirement housing managers in the UK; case studies involving interviews with staff and family carers (n=14) of ten individuals who engaged in walking with purpose in the different housing settings. Findings Although residents who walk with purpose constituted a minority (0-2 residents), managing walking with purpose can be challenging and time consuming. Distraction or redirection was the most common response. Other strategies included identifying the resident’s motivations and accommodating their wishes or walking with them. Culture of care, staff training and dementia friendly design are key to effective support for safe walking with purpose. Responses to walking with purpose in the domestic housing settings raised serious deprivation of liberty issues. Research limitations The study had a number of limitations. The completed survey questionnaires represent a self-selected sample of extra care and retirement housing settings and responses are based on the perceptions of the staff members completing the survey. There were a relatively small number of case study sites (3 extra care and 3 retirement housing) and it was not possible to interview family members for all of the residents who walked with purpose. Originality/Value This study provides unique data on walking with purpose in extra care and retirement housing setting in the UK.
本文的目的是探讨在额外护理,退休和家庭住房环境中有目的的行走,以便更好地理解和支持这些环境中的痴呆症患者,制定建议并为实践提供信息。设计/方法学/方法采用混合方法研究:范围文献综述;英国额外护理和退休住房经理在线调查;案例研究涉及对工作人员和家庭护理人员(n=14)的访谈,这些人在不同的住房环境中有目的地行走。尽管有目的步行的居民占少数(0-2名居民),但管理有目的步行可能具有挑战性和耗时。分散注意力或改变方向是最常见的反应。其他策略包括确定居民的动机,满足他们的愿望或与他们一起散步。护理文化、员工培训和痴呆症友好设计是有效支持有目的安全行走的关键。对在家庭住房环境中有目的行走的反应引发了严重的剥夺自由问题。这项研究有许多局限性。填妥的调查问卷是关于额外照顾和退休住房环境的自选样本,答复是根据完成调查的工作人员的看法。案例研究地点相对较少(3个额外护理和3个退休住房),并且不可能采访所有有目的行走的居民的家庭成员。独创性/价值本研究提供了关于英国额外护理和退休住房环境中有目的步行的独特数据。
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引用次数: 4
From displacement to resettlement: how current policies shape eviction narratives among urban poor in the Philippines 从流离失所到重新安置:当前政策如何塑造菲律宾城市贫困人口的驱逐叙事
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-06-29 DOI: 10.1108/HCS-01-2019-0001
Zaldy C. Collado, N. M. G. Orozco
This study aims to examine the experiences of urban poor relocatees in their resettlement communities, specifically those who were relocated from the Caloocan, Malabon, Navotas, Valenzuela and Quezon City areas to the province of Bulacan, Philippines. This study hopes to convey the importance of revisiting the law on socialized housing in the Philippines.,This study gathered qualitative data through 2 focus group discussions among 28 participants who came from 3 resettlement sites in San Jose del Monte City, Bulacan Province, Philippines. The resettlement areas are owned and managed by the National Housing Authority of the Philippine Government.,Results show that resettlement experiences are stories of survival under impoverished conditions. Lack of housing facilities or poorly built units characterize their relocation experience aside from having no immediate access to basic utilities such as electricity and water, despite a law that supposedly secures these rights to relocatees. The expensive cost of transportation and the lack of livelihood also heavily strain the lives of the relocated population.,This study illustrates that involuntary displacement predicts poor living conditions upon resettlement. This study is an inquiry not only of existing conditions of socialized housing in resettlement areas but also past realities of these housing communities at the onset of the displacees’ relocation.
本研究的目的是审查城市贫民在其重新安置社区的经历,特别是那些从卡洛坎、马拉邦、纳沃塔斯、巴伦苏埃拉和奎松市地区重新安置到菲律宾布拉干省的人。本研究希望传达重新审视菲律宾社会化住房法律的重要性。本研究通过对来自菲律宾布拉干省圣何塞德尔蒙特市3个安置点的28名参与者进行两次焦点小组讨论,收集了定性数据。安置区由菲律宾政府的国家住房管理局拥有和管理。结果表明,安置经历是贫困条件下的生存故事。除了不能立即获得水电等基本公用设施外,缺乏住房设施或建造不良的单位是他们搬迁经历的特点,尽管有一项法律据称保障了被搬迁者的这些权利。昂贵的交通费用和缺乏生计也给搬迁人口的生活造成了严重压力。这项研究表明,非自愿流离失所预示着重新安置后的生活条件很差。这项研究不仅是对重新安置地区社会化住房的现有条件的调查,而且是对这些住房社区在流离失所者重新安置开始时的过去现实的调查。
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引用次数: 0
Understanding landlord perspectives on applicants with sex offenses 了解房东对性犯罪申请人的看法
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-04-27 DOI: 10.1108/hcs-10-2019-0022
Naomi Kunstler, J. Tsai
This paper aims to understand landlords’ attitudes toward applicants with histories of sex offenses and landlords’ willingness to broaden eligibility criteria for tenancy.,A convenience sample of 50 landlords in Connecticut were interviewed. The content of interviews was analyzed to examine how often a landlord would be open to renting to individuals on the sex offender registry and what conditions affect their decisions.,In total, 44% of landlords would not rent to adults with histories of sex offenses under any circumstance, but 8% of landlords reported they would rent to such individuals and an additional 36% of landlords were open to it with a high threshold for other indicators of good tenancy such as stable housing history, good credit and timely rental payments.,These findings not only illustrate the real-world challenges in finding housing for adults with histories of sex offenses but also highlight opportunities in working with landlords.,There has been little examination of housing adults with sex offenders from the perspective of landlords, which is important to understand to address this difficult and sensitive issue.
本文旨在了解房东对有性犯罪史的申请人的态度,以及房东是否愿意放宽租房资格标准。为了方便起见,我们采访了康涅狄格州的50位房东。对访谈的内容进行分析,以检查房东愿意把房子租给性犯罪者名单上的人的频率,以及哪些条件会影响他们的决定。总的来说,44%的房东在任何情况下都不会把房子租给有性犯罪史的成年人,但8%的房东表示他们会把房子租给这样的人,另外36%的房东对这种情况持开放态度,但对其他良好租赁指标(如稳定的住房历史、良好的信用和及时的租金支付)的门槛很高。这些发现不仅说明了为有性犯罪史的成年人寻找住房的现实挑战,也突出了与房东合作的机会。很少有人从房东的角度来审视与性犯罪者一起居住的成年人,理解这一点对于解决这个困难而敏感的问题很重要。
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引用次数: 1
Working with individuals who have experienced homelessness: Stresses and successes 与无家可归的人一起工作:压力与成功
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-04-21 DOI: 10.1108/hcs-10-2019-0020
J. Rogers, Thomas J. George, Amanda Roberts
Staff who work with vulnerable people with multiple needs are known to experience high levels of stress and burnout, as well as high levels of job satisfaction. This paper aims to explore the experiences of staff working in a project with individuals experiencing long-term homelessness in Lincolnshire.,An evaluation of a project working with individuals experiencing long-term homelessness included a focus group set up to explore the experiences and well-being of front line staff and managers. One-to-one interviews with staff were also held to provide more in-depth data about the experiences of individual staff members.,Six key themes were identified from the discussions with participants. Decision latitude and the ability to follow service users on person-centred journeys over long periods were positive aspects of the work which were highly valued and seemed to contribute to high levels of job satisfaction. Things which also made a positive contribution were elements of support provided by the employer and a number of personal coping strategies. Themes identified which had a negative impact on well-being related to high workloads and to the multiple and competing demands from service users and other agencies.,Few studies of any kind have explored the experiences and well-being of staff working in the frontline of homelessness services. This small-scale qualitative study provides a number of suggestions for further research with this population. Findings cannot be generalised but match those of other recent studies which suggest high levels of stress but little evidence of burnout, and that carefully developed workplace support mechanisms play a key role in maintaining commitment to the role and preventing burnout.
众所周知,与有多种需求的弱势群体一起工作的员工会经历高度的压力和倦怠,以及高水平的工作满意度。这篇论文的目的是探讨工作人员的经验与个人经历长期无家可归在林肯郡的项目。对一个与长期无家可归者合作的项目进行了评估,其中包括一个焦点小组,旨在探讨一线工作人员和管理人员的经历和福祉。还与工作人员进行了一对一的面谈,以提供有关个别工作人员经验的更深入的数据。从与与会者的讨论中确定了六个关键主题。决策自由度和长期跟踪服务用户以人为本的旅行的能力是工作的积极方面,受到高度重视,似乎有助于提高工作满意度。雇主提供的支持和一些个人应对策略也起到了积极的作用。确定了对福利产生负面影响的主题,这些主题与高工作量以及服务使用者和其他机构的多重和相互竞争的需求有关。很少有任何类型的研究探讨工作在无家可归者服务前线的工作人员的经历和福祉。这项小规模的定性研究为进一步研究这一人群提供了一些建议。研究结果不能一概一概,但与最近的其他研究结果相吻合,这些研究表明,高水平的压力,但几乎没有证据表明倦怠,精心开发的工作场所支持机制在保持对角色的承诺和防止倦怠方面发挥了关键作用。
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引用次数: 3
Residualisation in supported housing: an organisational case study 支援房屋的安置:一个有组织的个案研究
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-01-15 DOI: 10.1108/hcs-09-2019-0019
J. Hobson, K. Lynch, A. Lodge
Supported housing is a particular complex sub-section of the housing sector, and generally refers to social or state housing provided in conjunction with additional support to help people develop the skills required for independent living. This paper examines the current changes to the supported housing sector partly as a result of austerity and partly as a result of politically initiated structural and funding changes. This paper aims to examine the outcome of the UK government’s reviews and a case study comprising first-hand accounts from stakeholders across a large supported housing provider, including all tiers of management and operations. The paper concludes that there are clear broad trends that can be identified across the sector, including state withdrawal, reduced and restructured funding models that constrain providers and, crucially, a process of residualisation that reduces state involvement in the sector to only individual support for the most vulnerable and ‘at risk’ clients. The authors express concern that these changes are detrimental and may actually leave already vulnerable social in an even more vulnerable situation.
支助性住房是住房部门的一个特别复杂的分支,一般指社会或国家住房,同时提供额外的支助,帮助人们发展独立生活所需的技能。本文考察了目前受支持的住房部门的变化,部分原因是紧缩政策,部分原因是政治上发起的结构和资金变化。本文旨在研究英国政府审查的结果和一个案例研究,该案例研究包括来自大型支持住房供应商的利益相关者的第一手资料,包括所有管理层和运营层。该论文的结论是,在整个行业中可以识别出明确的广泛趋势,包括国家退出,减少和重组限制提供者的资助模式,以及至关重要的是,将国家参与该行业的过程减少到仅为最脆弱和“风险”客户提供个人支持的过程。作者担心这些变化是有害的,实际上可能使本已脆弱的社会处于更加脆弱的境地。
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引用次数: 4
Extra care housing: exploring motivations, expectations and perceptions 额外护理住房:探索动机,期望和看法
IF 0.9 Q3 URBAN STUDIES Pub Date : 2020-01-08 DOI: 10.1108/hcs-02-2019-0007
Michael Buckland, A. Tinker
The purpose of this paper is to explore and compare the motivations and expectations that older people have when choosing to move into either a private or housing association (HA) extra care housing (ECH) scheme, and any effects this had on its residents.,This qualitative study is based on findings from four HA schemes in Tower Hamlets, London, and one private scheme in Warwickshire. Eight semi-structured interviews were conducted with five women and three men of varying backgrounds, from schemes managed by different associations and companies. Interview transcripts were coded and analysed thematically.,All residents moved into ECH in response to deteriorating health. However, almost all residents had felt obliged to move by others, generally their children. Few residents had any expectations of ECH on arrival, but many developed high expectations of an increased sense of independence and security and of an improved social life. ECH appeared to be beneficial for residents’ health and well-being.,The inability to recruit an equal number of people from HA and private scheme, alongside the small sample size, may compromise the external validity of any conclusions drawn from any comparisons.,This research identifies a lack of knowledge about ECH among the general population and offers insight into areas of poor management within ECH schemes which could be improved.,Inadequacies in the ECH model could be attributed to failures in the current health and social care system. Differences between expectations and perceptions of HA vs private schemes should be acknowledged and responded to.,This is a rare example of research exploring the relationships between ECH residents’ motivations and expectations (Hillcoat-Nalletamby and Sardani, 2019), and between those in HA vs private schemes.
本文的目的是探讨和比较老年人在选择入住私人或房屋协会(HA)额外照顾房屋(ECH)计划时的动机和期望,以及这对其居民的任何影响。这项定性研究是基于伦敦陶尔哈姆茨的四个HA计划和沃里克郡的一个私人计划的调查结果。研究人员对来自不同协会和公司管理的项目的5名女性和3名男性进行了8次半结构化访谈。访谈记录按主题进行编码和分析。由于健康状况恶化,所有居民都搬进了ECH。然而,几乎所有的居民都觉得是别人,通常是他们的孩子,迫使他们搬家的。很少有居民在抵达时对ECH有任何期望,但许多人对增加的独立感和安全感以及改善的社会生活产生了很高的期望。ECH似乎对居民的健康和福祉有益。由于无法从医管局和私营医疗机构招募同等数量的人员,加上样本规模小,可能会影响任何比较所得结论的外在有效性。本研究确定了普通人群缺乏对ECH的了解,并对ECH计划中管理不善的领域提供了见解,这些领域可以改进。欧洲经委会模式的不足可归因于当前卫生和社会保健系统的失败。对医管局与私营计划的期望和看法,应予以承认和回应。这是一个罕见的研究例子,探讨了ECH居民的动机和期望之间的关系(Hillcoat-Nalletamby和Sardani, 2019),以及HA与私人计划之间的关系。
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引用次数: 2
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Housing Care and Support
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