Centre for Rural Health, UHI Millennium Institute, Centre for Health Science, Inverness, IV2 3JH, UK.
Health Place. 2010 Mar;16(2):275-83. doi: 10.1016/j.healthplace.2009.10.010. Epub 2009 Oct 24.
This paper presents findings from a qualitative study investigating older people's health service provision in remote rural Scotland. Comparing stakeholders' perspectives, contested issues were exposed where community members, service managers and policymakers disagreed. Considering these, led to the proposal that fundamental tensions exist between community and management/policy stakeholders' perspectives and these underlie service change conflicts. While highlighting issues for older people's service design, findings suggest that impacts of the current planning process require to be understood, and aspects need to be changed, before the voice of older people can inform local service policy.
本文介绍了一项定性研究的结果，该研究调查了苏格兰偏远农村地区老年人的医疗服务提供情况。通过比较利益相关者的观点，揭示了社区成员、服务管理者和政策制定者之间存在分歧的争议问题。考虑到这些问题，提出了社区和管理/政策利益相关者的观点之间存在根本的紧张关系，这些紧张关系是服务变革冲突的基础。虽然研究结果突出了老年人服务设计的问题，但也表明需要在老年人的声音能够影响当地服务政策之前，了解当前规划过程的影响，并改变一些方面。
