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Older Clients’ Pathway through the Adaptation System for Independent Living in the UK

Housing adaptation is recognized as an effective intervention for successful independent living and has been given a greater political priority. However, the current adaptation implementation is fragmented and sometimes confusing. This study is aimed at examining blockages in the adaptation system i...

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Detalles Bibliográficos
Autores principales: Zhou, Wusi, Oyegoke, Adekunle Sabitu, Sun, Ming, Zhu, Hailong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277662/
https://www.ncbi.nlm.nih.gov/pubmed/32455789
http://dx.doi.org/10.3390/ijerph17103640
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author Zhou, Wusi
Oyegoke, Adekunle Sabitu
Sun, Ming
Zhu, Hailong
author_facet Zhou, Wusi
Oyegoke, Adekunle Sabitu
Sun, Ming
Zhu, Hailong
author_sort Zhou, Wusi
collection PubMed
description Housing adaptation is recognized as an effective intervention for successful independent living and has been given a greater political priority. However, the current adaptation implementation is fragmented and sometimes confusing. This study is aimed at examining blockages in the adaptation system in the United Kingdom (UK) and identifying practical ways to tackle them. It adopted a mixed-method sequential explanatory research strategy. A questionnaire survey was first conducted in all local authorities in England, Scotland and Wales. This was followed by individual interviews and a focus group with professionals and older clients. The study found that multiple organizations are involved during the delivery of housing adaptations; poor cooperation between them is a major barrier to a seamless service. The adaptation process involves five key stages; there are many inconsistencies and inequities in the process across local authorities. Significant delays are found at all stages, the average length of time taken to complete an adaptation is unacceptably long. There are also many inconsistencies and inequities across different local authorities. This study identified some common deficiencies, which cause inefficiencies and ineffectiveness in housing adaptation practices and makes some recommendations on specific actions that need to be taken at both national and local levels to address them.
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spelling pubmed-72776622020-06-12 Older Clients’ Pathway through the Adaptation System for Independent Living in the UK Zhou, Wusi Oyegoke, Adekunle Sabitu Sun, Ming Zhu, Hailong Int J Environ Res Public Health Article Housing adaptation is recognized as an effective intervention for successful independent living and has been given a greater political priority. However, the current adaptation implementation is fragmented and sometimes confusing. This study is aimed at examining blockages in the adaptation system in the United Kingdom (UK) and identifying practical ways to tackle them. It adopted a mixed-method sequential explanatory research strategy. A questionnaire survey was first conducted in all local authorities in England, Scotland and Wales. This was followed by individual interviews and a focus group with professionals and older clients. The study found that multiple organizations are involved during the delivery of housing adaptations; poor cooperation between them is a major barrier to a seamless service. The adaptation process involves five key stages; there are many inconsistencies and inequities in the process across local authorities. Significant delays are found at all stages, the average length of time taken to complete an adaptation is unacceptably long. There are also many inconsistencies and inequities across different local authorities. This study identified some common deficiencies, which cause inefficiencies and ineffectiveness in housing adaptation practices and makes some recommendations on specific actions that need to be taken at both national and local levels to address them. MDPI 2020-05-21 2020-05 /pmc/articles/PMC7277662/ /pubmed/32455789 http://dx.doi.org/10.3390/ijerph17103640 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhou, Wusi
Oyegoke, Adekunle Sabitu
Sun, Ming
Zhu, Hailong
Older Clients’ Pathway through the Adaptation System for Independent Living in the UK
title Older Clients’ Pathway through the Adaptation System for Independent Living in the UK
title_full Older Clients’ Pathway through the Adaptation System for Independent Living in the UK
title_fullStr Older Clients’ Pathway through the Adaptation System for Independent Living in the UK
title_full_unstemmed Older Clients’ Pathway through the Adaptation System for Independent Living in the UK
title_short Older Clients’ Pathway through the Adaptation System for Independent Living in the UK
title_sort older clients’ pathway through the adaptation system for independent living in the uk
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277662/
https://www.ncbi.nlm.nih.gov/pubmed/32455789
http://dx.doi.org/10.3390/ijerph17103640
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