title: Territorial tensions: misaligned management and community perspectives on health services for older people in remote rural areas.
abstract: This paper presents findings from a qualitative study investigating older people's health service provision in remote rural Scotland. Comparing stakeholders' perspectives, contested issues were exposed where community members, service managers and policymakers disagreed. Considering these, led to the proposal that fundamental tensions exist between community and management/policy stakeholders' perspectives and these underlie service change conflicts. While highlighting issues for older people's service design, findings suggest that impacts of the current planning process require to be understood, and aspects need to be changed, before the voice of older people can inform local service policy.
authors.affiliation: Centre for Rural Health, UHI Millennium Institute, Centre for Health Science, Inverness, IV2 3JH, UK. jane.farmer@uhi.ac.uk
authors.forename: Jane
authors.initials: J
authors.lastname: Farmer
authors.forename: Lorna
authors.initials: L
authors.lastname: Philip
authors.forename: Gerry
authors.initials: G
authors.lastname: King
authors.forename: John
authors.initials: J
authors.lastname: Farrington
authors.forename: Marsaili
authors.initials: M
authors.lastname: Macleod
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D003256:Community Participation; D003159:Community-Institutional Relations; D003258:Consumer Behavior; D005260:Female; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D019035:Rural Health Services; D012606:Scotland