Is regionalising care fair to disabled people?
Regionalisation promises to integrate health and social services, which matters especially for people with disabilities and chronic illness in the community; the authors test that promise with a disability-ethics justice framework.
Source
Just regionalisation: rehabilitating care for people with disabilities and chronic illnesses
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Is regionalising care fair to disabled people?
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
Promise?
integrating health and social services is especially important for people with disabilities and chronic illnesses transitioning to and/or living in the com
Especially for whom?
chronic illnesses transitioning to and/or living in the community. Without effective service integration, people with disabilities and chronic illnesses ma
What they did
They consider regionalisation from disability ethics (disability studies plus normative/bioethics), stress service integration for community living, and use a justice framework on marginalization and health/quality of life.
What they found
Without effective integration, community living fails. Regionalisation’s promise is especially important for this group. Justice here tracks marginalization in health and quality of care, not only efficiency.
The limits
What it doesn't show
This is a 2006 Canadian-style justice argument, not a new RCT of a region. It does not measure wait times.
Key terms
- Regionalisation
- Reorganising care by region, promising to integrate health and social services.
- Disability ethics
- Integration of disability studies with normative ethics, including bioethics.
- Service integration
- Joining health and social care so community living is actually possible.
- Justice framework
- Used to examine marginalization in health and quality of life, not only cost-efficiency.
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Lens is?
Common questions
Whose perspective?
Disability ethics.
Why regionalisation might help?
Promise of integrating health and social services for community living.
Without integration?
Community transition/living is especially at risk.
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