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Restructuring long-term care and the geography of ageing: A view from rural New Zealand

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  • Joseph, Alun E.
  • Chalmers, A. I. (Lex)

Abstract

This paper examines the major points of contact between the restructuring of long-term care and the evolving geography of the elderly in the Waikato, one of New Zealand's agricultural heartlands. The time frame of the study is 1981-1991, a decade in which new Zealand embarked on a sweeping program of service restructuring and privatization. Comparative analysis of data on the evolving distribution of the elderly and on the shifting supply of long-term care beds reveals that restructuring has sharpened contrasts between urban and rural contexts for ageing. Almost all the urban centres in the Waikato benefited from an expansion of long-term care driven by private-sector initiatives, while rural communities suffered a broad-based depletion of services. However, the data indicate that, contrary to the trend in long-term care, more older elderly people (defined as those aged 80 or older) are 'staying on' in rural communities. The paper concludes with a consideration of emergent policy issues; we speculate that it through the aggregate outcomes of decisions to 'stay on' that the personal troubles of the elderly residents of service-depleted communities may yet become an important policy issue in rural New Zealand.

Suggested Citation

  • Joseph, Alun E. & Chalmers, A. I. (Lex), 1996. "Restructuring long-term care and the geography of ageing: A view from rural New Zealand," Social Science & Medicine, Elsevier, vol. 42(6), pages 887-896, March.
    • Handle: RePEc:eee:socmed:v:42:y:1996:i:6:p:887-896
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    Cited by:

    1. Andrews, Gavin J. & Cutchin, Malcolm & McCracken, Kevin & Phillips, David R. & Wiles, Janine, 2007. "Geographical Gerontology: The constitution of a discipline," Social Science & Medicine, Elsevier, vol. 65(1), pages 151-168, July.
    2. Annika Smits, 2010. "Moving close to parents and adult children in the Netherlands: the influence of support needs," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 22(31), pages 985-1014.
    3. Danxian Wu & Xiaolu Gao & Zhifei Xie & Zening Xu, 2021. "Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective," IJERPH, MDPI, vol. 18(2), pages 1-15, January.

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