This paper addresses the broad topic of what older people think about nursing homes in Portugal. In the aftermath of the COVID-19 pandemic and considering the tragic events taking place in nursing homes, the challenge of reimagining the sector involves not only improving procedures and models of care, making sure they meet what citizens consider adequate, but also rehabilitating the image people have about nursing homes and rebuilding trust. Current and future decisions about how one meets LTC needs is influenced by the extent to which individuals see the alternatives as adequate. The paper presents evidence collected from a qualitative study run just before the COVID-19 pandemic began, with a sample of 45 community-dwelling individuals aged 60 plus, in Portugal. Opinions and views about nursing homes were collected and the results point to enduring negative aspects that are considered at odds with what constitutes adequate care. The paper discusses in length what those aspects are and concludes that future reforms of the nursing homes sector in Portugal need to consider what current and future users think and feel about that specific type of service. Debates in Portugal tend to be more focused on discussions about expanding the sector and less on aspects of quality of care. Views and opinions of interviewed participants, however, suggest that people may be more worried about quality of care.
Resumo:No presente artigo parte-se do reconhecimento do abuso de idosos como um fenómeno complexo e multidimensional. Dá-se conta da diversidade de molduras teóricas e de evidência empírica que tem marcado a análise deste fenómeno em Portugal, diversidade que se acredita explica algumas das inconsistências que continuam a marcar as tentativas de avaliação da extensão do mesmo. O artigo baseia-se numa revisão sistemática da literatura quer ao nível teórico, quer ao nível dos estudos empíricos realizados em Portugal.Palavras-chave: Abuso de idosos; fatores de risco; estudos de prevalência.Abstract: This article starts by recognizing elder abuse as a complex and multidimensional phenomenon. It showcases the diversity of theoretical frameworks and empirical evidence that have marked the analysis of this phenomenon in Portugal, a diversity which is believed to explain some of the inconsistencies that continue be present on the attempts of evaluating its' extent. The article is based on a systematic review of the literature both at a theoretical level, as well as at the level of the empirical studies carried out in Portugal.
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