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Matching services to needs in the health care of elderly people.

Spicker, P.; Hanslip, J.


P. Spicker

J. Hanslip


This paper is based on the results of a postal enquiry to health care professionals working in the care of elderly people in a Scottish Health Board. Responses fall into three main categories. The first refers to issues of process, where lack of information or delays in response create problems. Second, there are problems of scarcity, with both lack of provision and pressures on existing provision. Third, the responses relate to the impact of constrained choices, which are the consequences of that scarcity: either people are sent to existing services because of a lack of alternatives, or people cannot be referred on appropriately because of the lack of alternatives. The process of referral is, then, affected directly by the options that are available. In the process, compromises have to be made, and this produces mismatches between needs and services.


SPICKER, P. and HANSLIP, J. 1997. Matching services to needs in the health care of elderly people. Health services management research, 10(1-2), pages 113-120. Available from:

Journal Article Type Article
Acceptance Date Feb 28, 1997
Online Publication Date Feb 28, 1997
Publication Date Feb 28, 1997
Deposit Date Sep 10, 2013
Publicly Available Date Sep 10, 2013
Journal Health services management research
Print ISSN 0951-4848
Electronic ISSN 1758-1044
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 10
Issue 1-2
Pages 113-120
Public URL


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