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Conceptual Framework for Development of Long-Term Care Policy 1. Constitutive Elements*

Published online by Cambridge University Press:  29 November 2010

François Béland  and
Delphine Arweiler
François Béland
Affiliation:
Université de Montréal.
Delphine Arweiler
Affiliation:
Université de Montréal.
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Abstract

The elements of a conceptual scheme for long-term care (LTC) were developed based on two lines of thought. The first, more practical, borrows from planning. The second, which is more theoretical, reflects sociological action theories. Planning is defined as an action that targets the development of a plan. Using values, desires, resources and constraints as a starting point, operational objectives are defined and means chosen. Planning focuses on four themes: (1) establishment of priorities, (2) setting up organizations in the form of agencies, (3) choosing objectives and (4) defining resources. These four themes are analyzed in turn, with each producing four elements defining a total of 16 themes, dilemmas, problems or issues specific to LTC. The relationships between these elements, which are by definition prescriptive, form the core of our proposal for an LTC planning model.

Résumé

Les éléments pour la conception d'un schéma conceptuel pour la planification des services de longue durée (SLD) sont élaborés en se fondant sur deux courants de pensée. L'un, plus pratique d'orientation, emprunte aux réflexions sur la démarche de planification, l'autre, théorique, est celui des théories sociologiques de l'action. La planification est définie comme une action qui vise le développement d'un plan, c'est-à-dire qu'à partir à la fois de valeurs et de désirs et de ressources et de contraintes, des objectifs opérationnels sont défïnis et des moyens sont choisis. La planification s'articule done autour de quatre thémes: (1) l'établissement d'un ordre de priorités, (2) la mise en place d'organisations sous la forme d'établissements, (3) le choix d'objectifs et (4) la détermination des ressources. Ces quatre thémes sont analysés tour à tour pour donner chacun quatre éléments qui définissent 16 thèmes, dilemmes, problèmes ou enjeux propres aux SLD. Les rapports entre ces éléments, normatifs par définition, formeront l'essentiel de notre proposition de modèle pour la planification des SLD.

Keywords

Long-Term CareConceptual FrameworkPlanningTheory of Action.Soins de longue duréeschéma conceptuelplanificationactionalisme.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 15 , Issue 4 , Hiver/Winter 1996 , pp. 649 - 681
Copyright
Copyright © Canadian Association on Gerontology 1996

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