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Biomedical subjects

H Kelman

Publications and source records attributed to H Kelman.

At least 19 recordsLinked to original sources
PubMed1984

Public preferences for the care of dependency groups.

In the context of the continuing debate about how responsibility for the care of the disabled, chronically sick and elderly (collectively termed dependency groups) should be allocated as between the family and state and informal and formal caring agencies, this paper reports the basic findings of a survey of care preferences advocated by the public in three locations in Scotland, an urban metropolis, a large city and a small town in a rural setting. The results show that while there is little difference in preference patterns between the locations the public is discriminating in its support for care arrangements for patient/client groups with age-related physical and mental impairment. Overall, there is considerable support for a range of services termed community based professional care--day care centres, day hospitals and in respect of the elderly, sheltered housing. Residential care is less often preferred with the notable exception of senile dementia. Similarly, there is only limited support for informal care without professional involvement. The public, it seems, are not inclined to allocate the major responsibility for the care of dependency groups to the family and close kin preferring instead a continued policy of partnership between informal care systems and the welfare state in which the former does not replace the latter.

Aged↗
PubMed1981

A controlled clinical trial of "family care" compared with "child-only care" in the comprehensive primary care of children.

We performed a randomized controlled clinical trial in a health center serving a poor population to attempt to find the differences, if any, between the effectiveness of primary care provided to children by two patterns of comprehensive medical care practiced by a pediatrician-internist-allied health team--one pattern offering care exclusively to children and the other offering care to both children and their parents. The study demonstrated few measurable differences between the two groups of children in either utilization or outcome. Where there were differences, most tended to favor slightly the family pattern of care: older children maintained their use of the center, immunization was somewhat more timely and children over time appeared to make fewer visits to sources of ambulatory care other than the health center. The absence of more or greater measurable differences may be due to the relatively short period of study, to the extremely disadvantaged population served, to the special model of family care used or to the comprehensive, team-based care provided to both groups of children.

Adult↗