Care reforms in the UK and Germany continue to emphasize the need for providers to improve the quality of their services.
The focus on quality in the health services is now beginning to have an impact on residential care and nursing homes.
Purchasers and regulators are now seeking evidence of quality services by the introduction of some form of quality assurance system.
There is, however, some debate about how quality is defined, and what are the benefits of quality assurance systems.
There is evidence that the notion of quality is far from clear, as the objective of residential care involves more than the pursuit of profit and customer satisfaction.
There are a number of quality assurance systems available, but to date there is not much empirical evidence to determine if they improve efficiency, the quality of life of the residents and the overall quality of the service.
In this article we describe the scope of our research project into concepts of quality in the UK and Germany, which is being funded by the European Union via the European Human Capital and Mobility Programme.
We explore the interests of the different stake-holders in residential care and the difficulties in achieving an operational definition of quality, and describe our experience of two quality assurance systems that have been implemented in residential care establishments in the UK and evidence of the benefits to be gained.
Mots-clés Pascal : Etablissement troisième âge, Long séjour, Vieillard, Homme, Assurance qualité, Royaume Uni, Europe, Allemagne, Soin, Accréditation, Norme, Système santé, Structure médicalisée
Mots-clés Pascal anglais : Homes for the aged, Long stay, Elderly, Human, Quality assurance, United Kingdom, Europe, Germany, Care, Accreditation, Standards, Health system, Care facility
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0079194
Code Inist : 002B30A04D. Création : 14/05/1998.