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Social Policy Review 19Analysis and debate in social policy, 2007$
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Karen Clarke, Tony Maltby, and Patricia Kennett

Print publication date: 2007

Print ISBN-13: 9781861349415

Published to University Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349415.001.0001

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date: 21 August 2017

Power and autonomy of older people in long-term care: cross-national comparison and learning

Power and autonomy of older people in long-term care: cross-national comparison and learning

Chapter:
(p.174) (p.175) Nine Power and autonomy of older people in long-term care: cross-national comparison and learning
Source:
Social Policy Review 19
Author(s):

Henglien (Lisa) Chen

Publisher:
Policy Press
DOI:10.1332/policypress/9781861349415.003.0010

The current trend in many European countries is shifting caring responsibilities towards the individual and promoting independence among older people. This chapter argues that older people who need long-term care are most likely to be physically/mentally frail and to be involved with multiple care actors. It for this reason that the power and autonomy of dependent older people is essential to ensure that their quality of care is maintained. However, it also means that securing the autonomy of dependent older people within the complexities of the long-term care system remains a challenge. The chapter seeks to explore some solutions. It focuses on the entire long-term care framework and uses international comparisons to understand the range of policy options in order to learn from the successes (or failures) of foreign care systems. The countries selected – England, the Netherlands, and Taiwan – were chosen because each represents a different welfare arrangement.

Keywords:   long-term care, older people, independence, autonomy, quality of care, health care policy, England, Netherlands, Taiwan, welfare systems

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