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Migrants’ pathways to aged care: the role of local relationships of care in facilitating access for super-diverse older populations
Ageing & Society ( IF 3.718 ) Pub Date : 2021-09-17 , DOI: 10.1017/s0144686x21001240
Hanna Carlsson 1
Affiliation  

The literature on older migrants often focuses on identifying the characteristics of ethnic groups that constitute ‘barriers’ for members of these populations to access care. This paper offers an alternative conceptualisation of access to care, by combining relational approaches to place and the notion of super-diversity. From this perspective, ‘access to care’ is perceived as an outcome of an individual's embeddedness in relationships of care in urban places. The objective of the study is to identify relationships of care that facilitate access to aged care for older first-generation migrants. Thirty-two semi-structured interviews were conducted with older migrants who were residents of Nijmegen or The Hague, The Netherlands. All interviewees had accessed home care, home aid and/or day care. Both relationships with minority-specific services and informal relationships of care, particularly those within local minority communities, were found to facilitate access to aged care. Past experiences with health and social care were also found to influence current relationships with formal care providers. This study, therefore, suggests that policy makers and care organisations should build long-term positive relationships with new and incoming migrant groups. In addition, it argues that policy makers and care providers should identify locally relevant shared migration-related (rather than ethnic) identities around which communities can be mobilised and targeted with appropriate services.



中文翻译:

移民获得老年护理的途径:当地护理关系在促进超级多样化老年人口获得护理方面的作用

关于老年移民的文献通常侧重于确定构成这些人群成员获得护理的“障碍”的种族群体的特征。本文通过结合地方的关系方法和超级多样性的概念,提供了获得护理的另一种概念。从这个角度来看,“获得护理的机会”被视为个人融入​​城市护理关系的结果。该研究的目的是确定有助于老年第一代移民获得老年护理的护理关系。对荷兰奈梅亨或海牙居民的老年移民进行了 32 次半结构化访谈。所有受访者都获得了家庭护理、家庭援助和/或日托服务。研究发现,与少数民族特定服务的关系和非正式的护理关系,特别是当地少数民族社区内的关系,都有助于获得老年护理。过去的健康和社会护理经验也被发现会影响当前与正规护理提供者的关系。因此,这项研究建议政策制定者和护理组织应与新移民和新移民群体建立长期积极的关系。此外,它认为政策制定者和护理提供者应确定当地相关的共同移民相关(而不是种族)身份,围绕这些身份可以动员社区并提供适当的服务。过去的健康和社会护理经验也被发现会影响当前与正规护理提供者的关系。因此,这项研究建议政策制定者和护理组织应与新移民和新移民群体建立长期积极的关系。此外,它认为政策制定者和护理提供者应确定当地相关的共同移民相关(而不是种族)身份,围绕这些身份可以动员社区并提供适当的服务。过去的健康和社会护理经验也被发现会影响当前与正规护理提供者的关系。因此,这项研究建议政策制定者和护理组织应与新移民和新移民群体建立长期积极的关系。此外,它认为政策制定者和护理提供者应确定当地相关的共同移民相关(而不是种族)身份,围绕这些身份可以动员社区并提供适当的服务。

更新日期:2021-09-17
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