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Journal of Aging and Health
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Opening the Black Box of Rationing Care in Later Life

The Case of `Community Care' in Britain

Mary Simms

Faculty of Health and Social Care Sciences, St. George's Hospital Medical School, m.simms{at}hcs.sghms.ac.uk

Research on the rationing of care to older patients in Britain and America typically focuses on acute care here I consider `chronic care'as illustrated by `community care' in Britain. Adopting a critical sociological approach to dependency and to the construction of `later life,'I argue that chronic care users constitute a class, and that clinical need has played a pivotal role in its development. As this reflects the allocative rationing of care I call into question, the claim made by the current British government that need can provide a benchmark of age justice.

Key Words: rationing • chronic care • community care • social closure

Journal of Aging and Health, Vol. 15, No. 4, 713-737 (2003)
DOI: 10.1177/0898264303256529
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[Abstract] [PDF]