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Community care for the elderly 1976-84.

E Grundy

    British Medical Journal (Clinical Research Ed.)
    |March 7, 1987
    PubMed
    Summary

    The growing population of adults over 80 significantly increases demand for health and social services. Current government guidelines for the elderly (65+) are inadequate, necessitating increased resources and inter-agency cooperation for effective community care.

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    Area of Science:

    • Gerontology
    • Public Health Policy
    • Social Services Research

    Background:

    • The demographic shift towards an older population, particularly those over 80, presents unique challenges for service provision.
    • Existing government guidelines for elderly care (aged 65 and over) do not adequately address the distinct needs of the rapidly growing very old population.
    • There is a critical imbalance in service provision, with a notable increase in private institutional care contrasting with lagging domiciliary and community-based support.

    Purpose of the Study:

    • To evaluate the appropriateness of current government guidelines for elderly services in light of demographic changes.
    • To analyze trends in the provision of various elderly care services, including domiciliary, day care, specialist housing, and residential care.
    • To identify the resource and policy implications for achieving effective community care for the aging population.

    Main Methods:

    • Analysis of trends in the provision of domiciliary services, day care, specialist housing, and residential care for the elderly.
    • Comparison of service provision increases with the growth rate of the very old population.
    • Review of government policies and stated commitments regarding community care for the elderly.

    Main Results:

    • The number of very old individuals (80+) is increasing, driving greater demand for health and social services.
    • Despite a commitment to community care, private institutional care has seen the most significant growth.
    • Provision of domiciliary services, such as home help and health visitor visits, has not kept pace with the needs of the expanding very old population.
    • While day care and sheltered housing have increased, they remain insufficient to meet demand.

    Conclusions:

    • Current government guidelines for elderly services are outdated and inappropriate for the aging demographic.
    • Achieving effective community care requires substantial additional resources, improved inter-agency collaboration, and innovative service delivery models.
    • Urgent action is needed to rebalance service provision towards community-based support and address the growing needs of the very old population.

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