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Bridging Policy and Research in Eldercare

Published online by Cambridge University Press:  08 November 2023

Norah C. Keating*
Affiliation:
University of Alberta
Janet E. Fast
Affiliation:
University of Alberta
Ingrid A. Connidis
Affiliation:
University of Western Ontario
Margaret Penning
Affiliation:
University of Victoria
Janice Keefe
Affiliation:
Mount Saint Vincent University
*
Requests for reprints should be sent to:/Les demandes de reproduction doivent être adressées à: Norah C. Keating, Department of Human Ecology, Room 3-70 Assiniboia Hall, University of Alberta, Edmonton, AB T6G 2E7

Abstract

A new paradigm for continuing care policy has emerged that is based on assumptions about the benefits of caring partnerships and client-centred care delivery. Such assumptions place the interface between formal and informal care squarely on the policy agenda. The authors describe how existing research can contribute to the debate stimulated by the new policy paradigm and suggest future research that is informed by the paradigm. They argue that theory is an important tool to make policy agendas more explicit and they use human ecology theory to illustrate how theory can frame the development of research to address policy. Finally, they describe barriers to be overcome in order for policy and research to inform one another.

Résumé

Résumé

On a vu surgir un nouveau paradigme de soins continus qui repose sur des postulats quant aux avantages du partage des soins et de la prestation de soins axés sur le client. Ces postulats situent carrément la corrélation entre les soins structurés ou non au programme des objectifs. Les auteurs décrivent la façon dont la recherche actuelle peut enrichir le débat engendré par le nouveau paradigme et proposent une recherche éventuelle alimentée ce même paradigme. Us affirment que la théorie constitue un outil important d'explicitation du programme des objectifs et font appel à la théorie de l'écologie humaine pour illustrer le développement de la recherche en regard de l'élaboration des politiques. Enfin, ils décrivent les obstacles à franchir pour que la politique et la recherche s'enrichissent l'une l'autre.

Type
Research Article
Copyright
Copyright © Canadian Association on Gerontology 1997

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References

Abel, E. (1990). Informal care for the disabled elderly: A critique of recent literature. Research on Aging, 12(2), 139-157.CrossRefGoogle ScholarPubMed
Alary, J. (1990). Community care and participatory research (S. Usher, Trans.). Montreal, PQ: New Age Editions.Google Scholar
Alberta Health. (1989). Alberta assessment and placement instrument for long term care. Edmonton: Alberta Health.Google Scholar
Alberta Health. (1993). Continuing care centres in Alberta's future health system: A role statement for Alberta's long-term care facilities. Edmonton, AB: Alberta Health.Google Scholar
Alberta Health. (1995). Business Plan 1995-96 to 1997-98. Edmonton: Province of Alberta.Google Scholar
Berk, A.A., & Chalmers, P.C. (1981). Cost and efficiency of the substitution of ambulatory for inpatient care. The New England Journal of Medicine, 304(7), 393-397.CrossRefGoogle Scholar
Bristor, M. (1990). Individuals, families, and environments. Dubuque, IA: Kendall/Hunt.Google Scholar
Brooks, S. (1993). Public policy in Canada: An introduction. Toronto: McClelland and Stewart, Inc.Google Scholar
Bubolz, M., & Sontag, M.S. (1993). Human ecology theory. In Boss, P.G., Doherty, W.J., R. LaRossa, Schumm, W.R. & Steinmetz, S.K. (Eds.), Sourcebook of family theories and methods. A contextual approach (pp. 419-448). New York: Plenum Press.CrossRefGoogle Scholar
Cantor, M.H. (1991). Family and community: Changing roles in an aging society. The Gerontologist, 32(3), 337-346.CrossRefGoogle Scholar
Chappell, N.L. (1987). Inter generational helping patterns. Paper presented at the annual meeting of the Canadian Sociology and Anthropology Association, Hamilton, ON.Google Scholar
Chappell, N.L. (1993). Implications of shifting health care policy for caregiving in Canada. Journal of Aging and Social Policy, 5(1&2), 39-55.CrossRefGoogle Scholar
Chappell, N.L. (1995). Gerontological research in the '90s: Strengths, weaknesses and contributions to policy. Canadian Journal on Aging, 14(Suppl. 1), 23-26.CrossRefGoogle Scholar
Chappell, N.L., & Blandford, A. (1991). Informal and formal care: Exploring the complementarity. Ageing and Society, 11, 299-317.CrossRefGoogle Scholar
Chappell, N.L., & Guse, L.W. (1989). Linkages between informal and formal support. In Markides, K.S. & Cooper, C.L. (Eds.), Aging, stress and health. Rexdale, ON: John Wiley & Sons.Google Scholar
Chappell, N.L., & Havens, B. (1985). Who helps the elderly person: A discussion of informal and formal care. In Peterson, W.A. & Quadagno, J. (Eds.), Social bonds in later life: Aging and Interdependence. Beverly Hills, CA: Sage Publications.Google Scholar
Clark, P.G. (1993). Moral discourse and public policy in aging: Framing problems, seeking solutions, and "public ethics". Canadian Journal on Aging, 12(4), 485-508.CrossRefGoogle Scholar
Collins, C., & Stommel, M. (1991). Out-of-pocket expenditures by family caregivers of dementia patients residing in the community. Home Health Care Services Quarterly, 12(4), 29-43CrossRefGoogle Scholar
Connidis, I. (1989). Family Ties and Aging. Toronto: Butterworths.Google Scholar
Connidis, I. (1994). Sibling support in older age. Journal of Gerontology: Social Sciences, 49(6), S309-S317.CrossRefGoogle Scholar
Defriese, G., & Woomert, A. (1992). Informal and formal health care systems serving older persons. In M. Ory, R. Abeles & P. Lipman (Eds), Aging, health and behavior (pp. 57-82). Newbury Park: Sage Publications.Google Scholar
Eichler, M. (1988). Families in Canada Today. Toronto: Gage Educational Publishing Company.Google Scholar
Evans, R. (1994). There and back again: Coming home from the hospital. Keynote address to the annual meeting of the Canadian Association on Gerontology, Winnipeg, MB.Google Scholar
Fast, J.E., Keating, N.C., Oakes, L., & White, E. (1994). Needy or independent: Eldercare in context. Paper presented at the annual conference of the National Council on Family Relations, Minneapolis, MN.Google Scholar
Fast, J., Keating, N., Williamson, D., & Oakes, L. (1997). A taxonomy of the costs of informal caregiving. Final report to NHRDP.Google Scholar
Federal/Provincial/Territorial Working Group on Home Care. (1990). Report on home care. Ottawa: Health Services and Promotion Branch, Health and Welfare Canada.Google Scholar
Finch, J. (1986). Community care and the invisible welfare state. Radical Community Medicine, Summer, 15-22.Google Scholar
Gottlieb, B.H. (1991). Social support and family care of the elderly. Canadian Journal on Aging, 10(4), 359-375.CrossRefGoogle Scholar
Hanley, R.J., Wiener, J.M., & Harris, K.M. (1991). Will paid home care erode informal support? Journal of Health Politics, 16(3), 507-521.Google Scholar
Hansson, R.O., Nelson, R.E., Carver, M.D., NeeSmith, D.H., Dowling, E.M., Fletcher, W.L., & Suhr, P. (1990). Adult children with frail elderly parents: When to intervene? Family Relations, 39, 153-158.CrossRefGoogle Scholar
Kane, R.A., Illston, L., Kane, R.L., & Nyman, J.A. (1990). Meshing services with housing: Lessons from adult foster care and assisted living in Oregon. Minneapolis, MN: University of Minnesota.Google Scholar
Keating, N. (1991). Aging in Rural Canada. Toronto, ON: Butterworths.Google Scholar
Keating, N., Fast, J., Harlton, S., & Oakes, L. (1996). Defining eldercare: Concepts and boundaries. Final report to NHRDP.Google Scholar
Keating, N., Kerr, K., Warren, S., Grace, M., & Wertenberger, D. (1994). Who's the family in family caregiving? Canadian Journal on Aging, 13(2), 268-287.CrossRefGoogle Scholar
Keating, N., & Willoughby, J. (1991). Being in control. The process of caring for a relative with Alzheimer's disease. Journal of Qualitative Health Research, 1(1), 27-50.Google Scholar
Keefe, J., & Fancy, P. (1996). Which is more beneficial to caregivers: Financial compensation of home care services. Canadian Journal on Aging. (In review).Google Scholar
Mahurin, R., DeBettignies, B., & Pirozzolo, F. (1991). Structural assessment of independent living skills: Preliminary report of a performance measure of functional abilities in dementia. Journal of Gerontology, 46(2), 58-66.CrossRefGoogle ScholarPubMed
Muurinen, J.M. (1986). The economics of informal care. Medical Care, 24(11), 1007-1017.CrossRefGoogle ScholarPubMed
Myles, J. (1991). Editorial: Women, the welfare state and care giving. Canadian Journal on Aging, 10(2), 82-85.CrossRefGoogle Scholar
National Advisory Council on Aging (NACA). (1992). Quality of life in long-term care institutions: A concerted approach. Ottawa, ON: Minister of Supply and Services.Google Scholar
Neysmith, S. (1991). From community care to a social model of care. In C. Baines, P. Evans & S. Neysmith (Eds.), Women's Caring: Feminist Perspectives on Social Welfare. Toronto: McClelland & Stewart, Inc.Google Scholar
Noelker, L.S., & Bass, D.M. (1995). Relationships between the frail elderly's informal and formal helpers. In E. Kahana, Biegel, D.E. & Wykle, M.L. (Eds.), Family caregiving across the lifespan (pp. 356-381). Thousand Oaks: Sage Publications.Google Scholar
Parker, G. (1990). With due care and attention: A review of research on informal care. London: Family Policy Studies Centre.Google Scholar
Province of Alberta. (1993). The Long Term Care Facilities Sector Role Statement Working Group.Google Scholar
Province of British Columbia. (1993). New Directions for a Health British Columbia.Google Scholar
Rimmer, L. (1983). The economics of work and caring. In J. Finch & D. Groves (Eds.), A labour of love: Women, work and caring. London: Routledge & Kegan Paul.Google Scholar
Scharlach, A.E., & Lowe, B.F., & Schneider, E.L. (1991). Employees, employers, and elder care. Elder care and the work force (pp. 27-41). Toronto: Lexington Books.Google Scholar
Schwenk, F.N. (1993). Long term care trends. Family Economics Review, 6(4), 9-18.Google Scholar
Seniors Independence Research Program Advisory Committee. (1996). Future Directions for Research on Aging.Google Scholar
Stone, R. (1991). Familial obligations: Issues for the 1990s. Generations, summer/fall, 47-50.Google Scholar
Stone, R., Cafferata, G.L., & Sangl, J. (1987). Caregivers of the frail elderly: A national profile. The Gerontologist, 27(5), 616-626.CrossRefGoogle ScholarPubMed
Tilson, D., & Fahey, C. (1990). Introduction. In D.T.Tilson (Ed), Aging in place: Supporting the frail elderly in residential environments. Glenview, IL: Scott, Foresman.Google Scholar
Timko, C., & Moos, R. (1989). Choice, control, and adaptation among elderly residents of sheltered care settings. Journal of Applied Social Psychology, 19(8), 636-655.CrossRefGoogle Scholar
Walker, A. (1991). The relationship between the family and the state in the care of older people. Canadian Journal on Aging, 10(2), 94-112.CrossRefGoogle Scholar
Wood, J.B. (1991). Caregivers as comptrollers: Women and long-term care and cost containment. Journal of Aging and Social Policy, 3(4), 31-46.CrossRefGoogle ScholarPubMed