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Rural community-based services: Looking through the eyes of older adults and service providers.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Rural community-based services: Looking through the eyes of older adults and service providers./
Author:	Kleesattel, Debra Jean.
Description:	181 p.
Notes:	Source: Dissertation Abstracts International, Volume: 68-04, Section: A, page: 1606.
Contained By:	Dissertation Abstracts International68-04A.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3262558

Rural community-based services: Looking through the eyes of older adults and service providers.
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100 1 $a Kleesattel, Debra Jean. $3 1000006630
245 1 0 $a Rural community-based services: Looking through the eyes of older adults and service providers.
300 $a 181 p.
500 $a Source: Dissertation Abstracts International, Volume: 68-04, Section: A, page: 1606.
500 $a Advisers: Laurie Russell Hatch; John F. Watkins.
502 $a Thesis (Ph.D.)--University of Kentucky, 2007.
520 $a This study investigates perceptions of community-based services for older adults in a rural county in North Carolina. The perceptions of both older adults and service providers require exploration and analysis in order to understand the structural, attitudinal, or systemic barriers that may inhibit the provision, use, and effectiveness of health and social services within rural communities. Providing community-based services within a rural community can frequently be difficult, with often-limited budgets and inadequate service infrastructure. Exploring complexities through the perceptions of older rural residents and service providers allows for a portrait of the intricacies of rural service provision.
520 $a Symbolic interactionism and an ecological approach provide the theoretical framework for this study and are important for researchers interested in exploring the values, beliefs and motivations that influence rural elders to use or avoid community based health and social services. Symbolic interactionism focuses on the interaction between actors and the world. It recognizes that older adults and service providers interpret events, objects, and situations and respond accordingly. The ecological approach addresses the importance of the context in which community-based services exist. An ecological approach requires the examination of both the individual and his or her environment when investigating behavior. Theoretically, symbolic interactionism and the ecological approach fit well by allowing a link between how an individual experiences and gives meaning to an event (object or situation) and the broader societal context and environment.
520 $a Results from this project suggest that the concept of dignity, the social construction of race, and the community context greatly influence the perceptions related to community-based services for older adults. Maintaining dignity in light of changing life circumstances and the realization that use of community-based services may be necessary, the social construction of race and what it meant to use services that were perceived for one group of individuals, and the changing community context, which resulted in less available social support, formed the place from where decisions to use community-based services were made. This dissertation adds to our knowledge of rural elders, rural communities, and theory for understanding the development of comprehensive, inclusive, and effective services for older rural residents.
520 $a Keywords. Aging in Rural Environments, Symbolic Interaction, Service Use, Perceptions of Service, Community Based Services.
590 $a School code: 0102.
650 4 $a Gerontology. $3 168436
690 $a 0351
710 2 $a University of Kentucky. $3 1000005441
773 0 $t Dissertation Abstracts International $g 68-04A.
790 1 0 $a Hatch, Laurie Russell, $e advisor
790 1 0 $a Watkins, John F., $e advisor
790 $a 0102
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoeng/servlet/advanced?query=3262558