Abstract：
Homecare models can be effective mechanisms in securing wellbeing and ageing-in-place goals prevalent in health policy agendas. However, the relevance and utility of these models for those living in socially and environmentally insecure conditions has rarely been considered. This is marked by an assumption of in-situ care delivery in private dwellings, and the absence of such groups from homecare development processes. This study aims to harnesses the experiences and preferences of older people in homelessness (OH), older Irish Travellers (OT), and professional stakeholders in an evidence-based co-production of policy recommendations for inclusive homecare provision. The study employed a participatory approach involving the integration of lived experience evidence in a multistakeholder co-production process. Methods comprised: five separate focus groups with OH, OT and service providers (n = 30); two consultative forums involving focus group participants together; and 49 life-course interviews with OH (n = 27) and OT (n = 22) and adults. Findings demonstrate that sizeable gaps in care remain for these groups, and that resource constraints and legislative restrictions prevail for professional stakeholders. Co-produced policy recommendations for inclusive homecare provision based on these experiences and group preferences are presented and discussed.
摘要：
家庭护理模式可以成为确保健康和就地老龄化目标在卫生政策议程中普遍存在的有效机制。然而,很少考虑这些模型对生活在社会和环境不安全条件下的人的相关性和实用性。这标志着在私人住宅中提供原位护理服务的假设，以及家庭护理开发过程中缺乏这样的群体。这项研究旨在利用老年人在无家可归（OH）的经历和偏好，年长的爱尔兰旅行者（OT），和专业利益相关者共同制定基于证据的包容性家庭护理政策建议。该研究采用了参与式方法，涉及将生活经验证据整合到多利益相关者的共同生产过程中。方法包括：五个单独的OH焦点组，OT和服务提供商（n=30）；两个由焦点小组参与者共同参与的咨询论坛；以及对OH（n=27）和OT（n=22）和成年人的49次生命历程访谈。研究结果表明，这些群体在护理方面仍然存在巨大差距，资源限制和立法限制对专业利益相关者占上风。提出并讨论了基于这些经验和群体偏好的包容性家庭护理政策建议。
