Rationed care: Assessing the support needs of informal carers in English social services authorities
Rationed care: Assessing the support needs of informal carers in English social services authorities
复制标题
DOI：
10.1017/s0047279402006529
复制
发表时间：
2002-01-01
影响因子：
2
通讯作者：
Arksey, H
中科院分区：
文献类型：
--
作者：
Arksey, H
1995年《照料者（承认和服务法）》的通过是向前迈出的一步，它试图确保向残疾人、病人或老年亲属或朋友提供非正式照料的人得到适当承认和适当支助。《照顾者法》赋予非正式照顾者评估自身需求的权利，本文基于对四个地方当局社会服务部门立法影响的研究。有人认为，《照料者法》支持者的愿景，即为许多照料者带来真实的福利，尚未实现。分析借鉴克莱因等人。（1996年）的服务配给战略框架，以表明关于确定优先事项和不同形式的社会护理配给的决定是在三个不同的级别作出的：国家政府、地方当局和一线从业人员。有证据表明，一些照顾者选择通过减少他们的需求来对自己实行配给。文章最后评论的政策和实践的配给决定的影响。
The passing of the Carers (Recognition and Services Act) 1995 was a step forward in trying to ensure that people who provide informal care to disabled, sick or elderly relatives or friends are properly recognised and properly supported. The Carers Act gave informal carers the right to an assessment of their own needs, and this article is based on a study into the impact of the legislation in four local authority social services departments. It is argued that the vision of supporters of the Carers Act, namely to achieve real benefits for many carers, has yet to be realised. The analysis draws on Klein et al.'s (1996) framework of service rationing strategies to demonstrate that decisions about priority setting and different forms of rationing of social care took place at three different levels: national government, local authority and front-line practitioner. Evidence is presented to show that some carers chose to impose rationing on themselves by reducing their demands. The article concludes with comments on the implications of rationing decisions for policy and practice.