The meaning of family-like care among operators of small board and care homes |
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| Affiliation: | 1. Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD;2. Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond;3. Department of Internal Medicine, University of Kansas, Wichita;4. Veterans Administration, Greater Los Angeles Healthcare System, Los Angeles, CA;5. Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA;6. Department of Medicine and Epidemiology, Columbia University, New York, NY;7. Center for Prevention and Wellness Research, Baptist Health Medical Group, Miami Beach, FL;8. Department of Medicine, Herbert Wertheim College of Medicine, Florida International University, Miami;1. Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, USA;2. Harvard Center for Population and Development Studies, Cambridge, USA;3. Mbarara University of Science and Technology, Mbarara, Uganda;4. Duke Global Health Institute, Duke University, Durham, USA;5. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA;6. Department of Sociology, University of Toronto, Toronto, Canada;7. Department of Sociology, Yale University, New Haven, USA;8. Department of Medicine, University of California at San Francisco, USA;9. Department of Social and Behavioral Sciences, School of Nursing, University of California at San Francisco, San Francisco, USA;1. College of the Environment and Ecology, Xiamen University, Xiamen, Fujian, 361102, PR China;2. Advanced Membrane Technology Research Centre (AMTEC), School of Chemical and Energy Engineering, Universiti Teknologi Malaysia (UTM), Skudai, Johor Baru, 81310, Malaysia;3. School of Electrical Engineering, Guangxi University, Nanning, 530004, Guangxi, PR China;4. Research Institute for Humanity and Nature (RIHN), Kamigamo, Kyoto, 603-8047, Japan;5. School of Chemical Engineering and Environmental Engineering, Technical University of Crete, Chania, 73100, Greece;6. Faculty of Social Work, Health and Nursing, Ravensburg-Weingarten University of Applied Sciences, Weingarten, 88216, Germany;7. Department of Chemical Engineering, Diponegoro University, Semarang, 50275, Indonesia;8. Department of Earth and Environmental Sciences, Al-Quds University, Jerusalem, Palestine;1. Niccolò Cusano University, via Don Carlo Gnocchi 3, 00166 Rome, Italy;2. Industrial Engineering Department, University of Florence, via Santa Marta 3, 50139 Florence, Italy |
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| Abstract: | Thirty-six operators of small board and care homes were interviewed to explore how they conceptualize the care that they provide to frail, elderly persons. The meanings these operators attach to the care they provide reveal, through stories of “why” and “how” they provide care, both shared meanings and dimensions of difference in how they view their work. A range of motivations (the “why” of care), from altruism to economics, combine with varied styles of service delivery (the “how” of care), from full domestic integration to separate domains, to create a typology of meanings in this form of residential care. Implications of these dimensions for quality of care and social policy are derived from this typology. |
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