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Opinion of the actors in the planning of care for the elderly, territorial organization of the response and mortality in the nursing homes.

Alain Jourdain, Ecole des Hautes Etudes en Santé Publique, Arènes CNRS 6051

The Covid 19 revealed the frailty of the elderly and disabled persons. Even in countries where medicosocial and social care policies are advanced, mortality was very high during the first wave of the epidemic. Since the middle of the 20th century, old age and disability policies have undergone major transformations: out-of-hospital housing, identity social movements for the elderly, the liberal revolution, the transformation of the demography of health professions and the emergence of professions of social care. We hypothesize that old age and disability policies will be fragmented. For this reason we studied the social representations of the populations of professionals in this sector (administrators, associations, local politicians, representatives of the health professions). 70 semi-structured interviews were conducted, and analyzed by classification and factor analysis of matches. Five groups of social representations emerge from this analysis. The categories of social representations of actors can be linked, each, to a period of history. Their incompatibility can shed light on the problems observed in the fight against the pandemic. Coordinating ideas on policy for the elderly and disabled is a major issue.

Keywords: Population ageing, Policy, Mixed methods research

See extended abstract.

  Presented in Session P12.