People with multimorbidity assessed for home-based rehabilitation

Supporting complex everyday life or creating vulnerability?

Bidragets oversatte titel: Mennesker med multisygdom som er vurderet til hjemmerehablitering. : Støtte til sårbare og komplekse liv?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

This article examines meetings between people living a complicated everyday life with multimorbidity and an assessor responsible for providing a rehabilitation programme, home care or neither. The background to this is a health policy change towards more home-based rehabilitation and less home care, which began with new legislation in the Danish Consolidation Act on Social Services in 2015. The question raised is whether these meetings support the everyday lives of people with multimorbidity or exacerbate their already vulnerable situation, and how their agency plays a role in the assessor’s decision.
The article is based on an ethnographic field study in Denmark. Twenty-six individuals with multimorbidity aged 28-86 years, applying for or already receiving home care, were studied. The article uses three cases to explore the distinct ways in which the people relate to the assessment meeting, and how the meeting affects their vulnerable situation, while the analysis reveals the widely varying involvement of the people’s agency. We find support for these people in their everyday lives with multimorbidity, when everyday life and challenges in practical daily activities are understood in context, and when the meeting is based on the people’s experience of their lives. Conversely, assessment meetings that exclude their experience of meaningful everyday life and their need for help to handle their complicated life with multimorbidity result in restricted access to rehabilitation and home care. This creates inequality in access to health and social care and in the possibility to live a meaningful everyday life, which reinforces these people’s vulnerability.  
OriginalsprogEngelsk
TidsskriftTidsskrift for forskning i sygdom og samfund
Antal sider17
ISSN1604-3405
StatusAccepteret/In press - 18 dec. 2019

Citer dette

@article{4b28b47aaf4e45bc9b695324d2c852a2,
title = "People with multimorbidity assessed for home-based rehabilitation: Supporting complex everyday life or creating vulnerability?",
abstract = "This article examines meetings between people living a complicated everyday life with multimorbidity and an assessor responsible for providing a rehabilitation programme, home care or neither. The background to this is a health policy change towards more home-based rehabilitation and less home care, which began with new legislation in the Danish Consolidation Act on Social Services in 2015. The question raised is whether these meetings support the everyday lives of people with multimorbidity or exacerbate their already vulnerable situation, and how their agency plays a role in the assessor’s decision.The article is based on an ethnographic field study in Denmark. Twenty-six individuals with multimorbidity aged 28-86 years, applying for or already receiving home care, were studied. The article uses three cases to explore the distinct ways in which the people relate to the assessment meeting, and how the meeting affects their vulnerable situation, while the analysis reveals the widely varying involvement of the people’s agency. We find support for these people in their everyday lives with multimorbidity, when everyday life and challenges in practical daily activities are understood in context, and when the meeting is based on the people’s experience of their lives. Conversely, assessment meetings that exclude their experience of meaningful everyday life and their need for help to handle their complicated life with multimorbidity result in restricted access to rehabilitation and home care. This creates inequality in access to health and social care and in the possibility to live a meaningful everyday life, which reinforces these people’s vulnerability.  ",
author = "Helle Vedsegaard and Betina Dybbroe",
year = "2019",
month = "12",
day = "18",
language = "English",
journal = "Tidsskrift for forskning i sygdom og samfund",
issn = "1604-3405",
publisher = "Medicinsk Antropologisk Forum",

}

TY - JOUR

T1 - People with multimorbidity assessed for home-based rehabilitation

T2 - Supporting complex everyday life or creating vulnerability?

AU - Vedsegaard, Helle

AU - Dybbroe, Betina

PY - 2019/12/18

Y1 - 2019/12/18

N2 - This article examines meetings between people living a complicated everyday life with multimorbidity and an assessor responsible for providing a rehabilitation programme, home care or neither. The background to this is a health policy change towards more home-based rehabilitation and less home care, which began with new legislation in the Danish Consolidation Act on Social Services in 2015. The question raised is whether these meetings support the everyday lives of people with multimorbidity or exacerbate their already vulnerable situation, and how their agency plays a role in the assessor’s decision.The article is based on an ethnographic field study in Denmark. Twenty-six individuals with multimorbidity aged 28-86 years, applying for or already receiving home care, were studied. The article uses three cases to explore the distinct ways in which the people relate to the assessment meeting, and how the meeting affects their vulnerable situation, while the analysis reveals the widely varying involvement of the people’s agency. We find support for these people in their everyday lives with multimorbidity, when everyday life and challenges in practical daily activities are understood in context, and when the meeting is based on the people’s experience of their lives. Conversely, assessment meetings that exclude their experience of meaningful everyday life and their need for help to handle their complicated life with multimorbidity result in restricted access to rehabilitation and home care. This creates inequality in access to health and social care and in the possibility to live a meaningful everyday life, which reinforces these people’s vulnerability.  

AB - This article examines meetings between people living a complicated everyday life with multimorbidity and an assessor responsible for providing a rehabilitation programme, home care or neither. The background to this is a health policy change towards more home-based rehabilitation and less home care, which began with new legislation in the Danish Consolidation Act on Social Services in 2015. The question raised is whether these meetings support the everyday lives of people with multimorbidity or exacerbate their already vulnerable situation, and how their agency plays a role in the assessor’s decision.The article is based on an ethnographic field study in Denmark. Twenty-six individuals with multimorbidity aged 28-86 years, applying for or already receiving home care, were studied. The article uses three cases to explore the distinct ways in which the people relate to the assessment meeting, and how the meeting affects their vulnerable situation, while the analysis reveals the widely varying involvement of the people’s agency. We find support for these people in their everyday lives with multimorbidity, when everyday life and challenges in practical daily activities are understood in context, and when the meeting is based on the people’s experience of their lives. Conversely, assessment meetings that exclude their experience of meaningful everyday life and their need for help to handle their complicated life with multimorbidity result in restricted access to rehabilitation and home care. This creates inequality in access to health and social care and in the possibility to live a meaningful everyday life, which reinforces these people’s vulnerability.  

M3 - Journal article

JO - Tidsskrift for forskning i sygdom og samfund

JF - Tidsskrift for forskning i sygdom og samfund

SN - 1604-3405

ER -