Restructuring long-term care and the geography of ageing : A view from rural New Zealand.
International Symposium in Medical Geography. Vancouver, British Columbia CAN, 1994/07/12.
This paper examines the major points of contact between the restructuring of long-term care and the evolving geography of the elderly in the Waikato, one of New Zealand's agricultural heartlands.
The time frame of the study is 1981-91, a decade in which new Zealand embarked on a sweeping program of service restructuring and privatization.
Comparative analysis of data on the evolving distribution of the elderly and on the shifting supply of long-term care beds reveals that restructuring has sharpened contrasts between urban and rural contexts for ageing.
Almost all the urban centres in the Waikato benefited from an expansion of long-term care driven by private-sector initiatives, while rural communities suffered a broad-based depletion of services.
However, the data indicate that, contrary to the trend in long-term care, more older elderly people (defined as those aged 80 or older) are'staying on'in rural communities.
The paper concludes with a consideration of emergent policy issues ; we speculate that it through the aggregate outcomes of decisions to'stay on'that the personal troubles of the elderly residents of service-depleted communities may yet become an important policy issue in rural New Zealand.
Mots-clés Pascal : Restructuration, Système santé, Privatisation, Géographie, Vieillard, Milieu rural, Nouvelle Zélande, Long séjour, Homme, Océanie
Mots-clés Pascal anglais : Restructuration, Health system, Privatisation, Geography, Elderly, Rural environment, New Zealand, Long stay, Human, Oceania
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0190987
Code Inist : 002B30A01B. Création : 199608.