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Journal article 1142 views 281 downloads

‘Pathways to choice’ of care setting

Sarah Hillcoat-Nalletamby

Ageing and Society, Volume: 39, Issue: 2, Pages: 277 - 306

Swansea University Author: Sarah Hillcoat-Nalletamby

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DOI (Published version): 10.1017/s0144686x17000940

Abstract

This article offers critical reflections of the "rational choice" approach as an explanatory framework for understanding choices made by older citizens regarding their health and social care requirements. The author develops an interpretive framework to help analyse older people's cho...

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Published in: Ageing and Society
ISSN: 0144-686X 1469-1779
Published: Cambridge University Press (CUP) 2019
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa27104
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first_indexed 2016-04-10T01:14:42Z
last_indexed 2020-12-16T03:41:57Z
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spelling 2020-12-15T10:57:28.3452146 v2 27104 2016-04-09 ‘Pathways to choice’ of care setting 3bd6b771d306dc371504d375e37f4b86 Sarah Hillcoat-Nalletamby Sarah Hillcoat-Nalletamby true false 2016-04-09 FGMHL This article offers critical reflections of the "rational choice" approach as an explanatory framework for understanding choices made by older citizens regarding their health and social care requirements. The author develops an interpretive framework to help analyse older people's choice-making process about which care option they would prefer. The framework considers choice as a temporal process, influenced by others and reflective of individual life course experiences. The framework is tested using qualitative data from Wales gathered from 29 older adults who chose to move to an extra care setting. Through an inductive approach, data were analysed to produce a 6 category typology of different "pathways" to choice of care setting. Findings are interpreted using the concept of "independence" and pro-active coping theory, and demonstrate those choice of care setting in later life is a diverse, interactive and time-bound social phenomenon. The rational choice approach inadequately captures this social phenomenon. Service providers need to recognise choice as a temporal process so that they can be better placed to offer opportunities for more preventative-focused interventions which empower older consumers to make informed choices appropriate for their requirements. Journal Article Ageing and Society 39 2 277 306 Cambridge University Press (CUP) 0144-686X 1469-1779 choice, consumer-directed care, rational choice, extra-care, care options 1 2 2019 2019-02-01 10.1017/s0144686x17000940 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2020-12-15T10:57:28.3452146 2016-04-09T17:50:50.1481008 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing Sarah Hillcoat-Nalletamby 1 0027104-09082017100839.pdf ASChoicefinalauthoradditionalrevisions04-07-17.pdf 2017-08-09T10:08:39.0730000 Output 596630 application/pdf Accepted Manuscript true 2017-08-09T00:00:00.0000000 true eng
title ‘Pathways to choice’ of care setting
spellingShingle ‘Pathways to choice’ of care setting
Sarah Hillcoat-Nalletamby
title_short ‘Pathways to choice’ of care setting
title_full ‘Pathways to choice’ of care setting
title_fullStr ‘Pathways to choice’ of care setting
title_full_unstemmed ‘Pathways to choice’ of care setting
title_sort ‘Pathways to choice’ of care setting
author_id_str_mv 3bd6b771d306dc371504d375e37f4b86
author_id_fullname_str_mv 3bd6b771d306dc371504d375e37f4b86_***_Sarah Hillcoat-Nalletamby
author Sarah Hillcoat-Nalletamby
author2 Sarah Hillcoat-Nalletamby
format Journal article
container_title Ageing and Society
container_volume 39
container_issue 2
container_start_page 277
publishDate 2019
institution Swansea University
issn 0144-686X
1469-1779
doi_str_mv 10.1017/s0144686x17000940
publisher Cambridge University Press (CUP)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
document_store_str 1
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description This article offers critical reflections of the "rational choice" approach as an explanatory framework for understanding choices made by older citizens regarding their health and social care requirements. The author develops an interpretive framework to help analyse older people's choice-making process about which care option they would prefer. The framework considers choice as a temporal process, influenced by others and reflective of individual life course experiences. The framework is tested using qualitative data from Wales gathered from 29 older adults who chose to move to an extra care setting. Through an inductive approach, data were analysed to produce a 6 category typology of different "pathways" to choice of care setting. Findings are interpreted using the concept of "independence" and pro-active coping theory, and demonstrate those choice of care setting in later life is a diverse, interactive and time-bound social phenomenon. The rational choice approach inadequately captures this social phenomenon. Service providers need to recognise choice as a temporal process so that they can be better placed to offer opportunities for more preventative-focused interventions which empower older consumers to make informed choices appropriate for their requirements.
published_date 2019-02-01T03:32:47Z
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score 11.012678

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