IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v352y2024ics0277953624004477.html
   My bibliography  Save this article

Countering social exclusion through inclusive homecare provision: Utilising a participatory life-course approach to influence policy

Author

Listed:
  • Walsh, Kieran
  • Carroll, Brídín
  • O'Shea, Eamon
  • O'Donovan, Diarmuid

Abstract

Homecare models can be effective mechanisms in securing wellbeing and ageing-in-place goals prevalent in health policy agendas. However, the relevance and utility of these models for those living in socially and environmentally insecure conditions has rarely been considered. This is marked by an assumption of in-situ care delivery in private dwellings, and the absence of such groups from homecare development processes. This study aims to harnesses the experiences and preferences of older people in homelessness (OH), older Irish Travellers (OT), and professional stakeholders in an evidence-based co-production of policy recommendations for inclusive homecare provision. The study employed a participatory approach involving the integration of lived experience evidence in a multistakeholder co-production process. Methods comprised: five separate focus groups with OH, OT and service providers (n = 30); two consultative forums involving focus group participants together; and 49 life-course interviews with OH (n = 27) and OT (n = 22) and adults. Findings demonstrate that sizeable gaps in care remain for these groups, and that resource constraints and legislative restrictions prevail for professional stakeholders. Co-produced policy recommendations for inclusive homecare provision based on these experiences and group preferences are presented and discussed.

Suggested Citation

  • Walsh, Kieran & Carroll, Brídín & O'Shea, Eamon & O'Donovan, Diarmuid, 2024. "Countering social exclusion through inclusive homecare provision: Utilising a participatory life-course approach to influence policy," Social Science & Medicine, Elsevier, vol. 352(C).
    • Handle: RePEc:eee:socmed:v:352:y:2024:i:c:s0277953624004477
    DOI: 10.1016/j.socscimed.2024.117003
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624004477
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2024.117003?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Andrea Daley & Shari Brotman & Judith A. MacDonnell & Melissa St. Pierre, 2020. "A Framework for Enhancing Access to Equitable Home Care for 2SLGBTQ+ Communities," IJERPH, MDPI, vol. 17(20), pages 1-18, October.
    2. Daniel Holman & Alan Walker, 2021. "Understanding unequal ageing: towards a synthesis of intersectionality and life course analyses," European Journal of Ageing, Springer, vol. 18(2), pages 239-255, June.
    3. Watson, Dorothy & Kenny, Oona & McGinnity, Frances & Russell, Helen, 2017. "A social portrait of Travellers in Ireland," Research Series, Economic and Social Research Institute (ESRI), number RS56.
    4. Cutchin, Malcolm P., 2003. "The process of mediated aging-in-place: a theoretically and empirically based model," Social Science & Medicine, Elsevier, vol. 57(6), pages 1077-1090, September.
    5. Carroll, Brídín & Walsh, Kieran & Scharf, Thomas & O'Donovan, Diarmuid & Keogh, Sinéad, 2023. "Positive health and ageing policies for older Irish travellers and older people who have experienced homelessness in Ireland: Life-course meanings and determinants," Social Science & Medicine, Elsevier, vol. 336(C).
    6. Waldbrook, Natalie, 2015. "Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 128(C), pages 126-133.
    7. Imke Schilling & Ansgar Gerhardus, 2017. "Methods for Involving Older People in Health Research—A Review of the Literature," IJERPH, MDPI, vol. 14(12), pages 1-20, November.
    8. Jane Aronson & Sheila M. Neysmith, 2001. "Manufacturing Social Exclusion in the Home Care Market," Canadian Public Policy, University of Toronto Press, vol. 27(2), pages 151-165, June.
    9. Duane F. Alwin, 2012. "Integrating Varieties of Life Course Concepts," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(2), pages 206-220.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carroll, Brídín & Walsh, Kieran & Scharf, Thomas & O'Donovan, Diarmuid & Keogh, Sinéad, 2023. "Positive health and ageing policies for older Irish travellers and older people who have experienced homelessness in Ireland: Life-course meanings and determinants," Social Science & Medicine, Elsevier, vol. 336(C).
    2. Newton, Nicky J. & Ryan, Lindsay H. & King, Rachel T. & Smith, Jacqui, 2014. "Cohort differences in the marriage–health relationship for midlife women," Social Science & Medicine, Elsevier, vol. 116(C), pages 64-72.
    3. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    4. Hajo Zeeb & Heinz Rothgang & Ingrid Darmann-Finck, 2018. "Ageing, Health and Equity—Broad Perspectives Are Needed to Understand and Tackle Health Challenges of Ageing Societies," IJERPH, MDPI, vol. 15(3), pages 1-4, March.
    5. Minh Thi, Tran Thị, 2019. "Institutional and Cultural Aspects of Care for Rural Elderly in Vietnam," Village and Agriculture (Wieś i Rolnictwo), Polish Academy of Sciences (IRWiR PAN), Institute of Rural and Agricultural Development, vol. 184(3), September.
    6. Xing Zhang & Anna M. Hammersmith, 2024. "Adult Children’s Marital Timing and Upward Intergenerational Financial Transfers: Variation across Gender, Race, and Ethnicity," Social Sciences, MDPI, vol. 13(10), pages 1-19, September.
    7. repec:ags:ijag24:344587 is not listed on IDEAS
    8. Sixsmith, J. & Sixsmith, A. & Fänge, A. Malmgren & Naumann, D. & Kucsera, C. & Tomsone, S. & Haak, M. & Dahlin-Ivanoff, S. & Woolrych, R., 2014. "Healthy ageing and home: The perspectives of very old people in five European countries," Social Science & Medicine, Elsevier, vol. 106(C), pages 1-9.
    9. McGinnity, Frances & Russell, Helen & Privalko, Ivan & Enright, Shannen & O'Brien, Doireann, 2021. "Monitoring adequate housing in Ireland," Research Series, Economic and Social Research Institute (ESRI), number BKMNEXT413.
    10. Bell, Andrew & Evans, Clare & Holman, Dan & Leckie, George, 2024. "Extending intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) to study individual longitudinal trajectories, with application to mental health in the UK," Social Science & Medicine, Elsevier, vol. 351(C).
    11. Rishworth, Andrea & Elliott, Susan J., 2019. "Global environmental change in an aging world: The role of space, place and scale," Social Science & Medicine, Elsevier, vol. 227(C), pages 128-136.
    12. Mario Battaglini & Tania Burchardt & Polina Obolenskaya & Polly Vizard, 2018. "Experience of multiple disadvantage among Roma, Gypsy and Traveller children in England and Wales," CASE Papers /208, Centre for Analysis of Social Exclusion, LSE.
    13. Jane Aronson & Sheila M. Neysmith, 2006. "Obscuring the costs of home care: restructuring at work," Work, Employment & Society, British Sociological Association, vol. 20(1), pages 27-45, March.
    14. Okafor, Oliver Nnamdi & Kalu, Kenneth, 2024. "Integration challenges, immigrant characteristics and career satisfaction for immigrants in the field of accounting and finance: An empirical evidence from Canada," CRITICAL PERSPECTIVES ON ACCOUNTING, Elsevier, vol. 99(C).
    15. Weller, Susie & Lyle, Kate & Lucassen, Anneke, 2022. "Re-imagining ‘the patient’: Linked lives and lessons from genomic medicine," Social Science & Medicine, Elsevier, vol. 297(C).
    16. María Sánchez-Román & Gadea Autric-Tamayo & Gloria Fernandez-Mayoralas & Fermina Rojo-Perez & María Silveria Agulló-Tomás & Diego Sánchez-González & Vicente Rodriguez-Rodriguez, 2022. "Social Image of Old Age, Gendered Ageism and Inclusive Places: Older People in the Media," IJERPH, MDPI, vol. 19(24), pages 1-26, December.
    17. Vikki McCall & Friederike Ziegler & Jane Robertson & Melanie Lovatt & Judith Phillips & Jeremy Porteus & Zhan McIntyre & Alasdair Rutherford & Judith Sixsmith & Ryan Woolrych & Jim Eadie & Jim Wallman, 2020. "Housing and Ageing: Let’s Get Serious—“How Do You Plan for the Future while Addressing Immediate Chaos?”," Social Inclusion, Cogitatio Press, vol. 8(3), pages 28-42.
    18. Sara Chimento-Díaz & Pablo Sánchez-García & Cristina Franco-Antonio & Esperanza Santano-Mogena & Isabel Espino-Tato & Sergio Cordovilla-Guardia, 2022. "Factors Associated with the Acceptance of New Technologies for Ageing in Place by People over 64 Years of Age," IJERPH, MDPI, vol. 19(5), pages 1-18, March.
    19. Berit Forsman & Ann Svensson, 2019. "Frail Older Persons’ Experiences of Information and Participation in Hospital Care," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
    20. Magdalena Sacha & Jerzy Sacha & Katarzyna Wieczorowska-Tobis, 2020. "Determinants of Multidimensional and Physical Frailty and Their Individual Components: Interactions between Frailty Deficits," IJERPH, MDPI, vol. 17(22), pages 1-21, November.
    21. Kieran Walsh & Thomas Scharf & Norah Keating, 2017. "Social exclusion of older persons: a scoping review and conceptual framework," European Journal of Ageing, Springer, vol. 14(1), pages 81-98, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:352:y:2024:i:c:s0277953624004477. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.