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2 4 woonservicegebieden Onderzoek naar effecten Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden 51
3 geformuleerd welke effecten het leven in een woonservicegebied volgens woonservicegebieden aan het langer zelfstandig wonen en de tevredenheid over de kwaliteit van leven van ouderen 1 ningen effect zullen hebben op de ene groep ouderen, maar niet op de andere. en zelfstandig wonen. Deze groep is in het onderzoek ingedeeld naar mate van kwetsbaarheid: van vitaal tot en met zeer hulpbehoevend. Doel woonservicegebieden op de kwaliteit van leven en het langer zelfstandig woonservicegebied bestaat en hoe de populatie is opgebouwd, uit de hardware en de software waarmee zo n leefgebied tot een woonser voorzieningen, zoals het aanpassen van woningen, bouwen van multifuncti onele centra, of het verbeteren van de bereikbaarheid van die voorzieningen. proeftuinen en de specifieke bestanddelen van de arrangementen. Onderzoeksgebied: configuratie van een woonservicegebied De configuratie van een woonservicegebied bestaat uit drie elementen: de Onderzoeksmethoden Kwantitatief De onderzoekers benaderden alle zelfstandig wonende ouderen in de proef tuinen met een aantal vragen over hun leefsituatie en een verzoek mee te respondenten ingedeeld in zes groepen, naar mate van kwetsbaarheid. Per 12) De partners in het team zijn de Radboud Universiteit Nijmegen (projectleider George de Kam, bijzonder hoogleraar maatschappelijk ondernemen met grond en locaties), het Universitair Medisch Centrum Groningen ( Joris Slaets, hoogleraar Ouderengeneeskunde) en de Hogeschool van Arnhem en Nijmegen (Martha van Biene, lectoraat Lokale Dienstverlening vanuit Klantperspectief). Als adviseur en contactpersoon met de proeftuinen in de pilots neemt Jeroen Singelenberg deel in het projectteam, en daarnaast heeft Peter Weyers van Stichting Maat een adviserende rol. Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > Doel - Onderzoeksmethoden 52
4 proeftuinen namen deel aan de enquête. Daarnaast verzamelden de onderzoekers op basis van veldwerk en interviews gegevens over het arrangement. gebruik gemaakt van de zelfstandig wonende ouderen in de database ouderen hebben een deel van de vragen beantwoord die ook in de proef kingsgebieden gezocht, die wat woonmilieu en demografische kenmerken bieden afgezet tegen de gemiddelde waarden voor gebieden met eenzelfde geheel. kan verschillen. Daarnaast is er geen proeftuin waar alle bestanddelen worden aangeboden. maar dat een geclusterde gezondheidsvoorziening weinig voorkomt. Nagenoeg alle proeftuinen hebben ongeveer de helft van de software van het Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > Eerste resultaten 53
5 Arrangementen proeftuinen eind 2011 Software Proeftuin O = in Ontwikkeling Hardware Proeftuin Bestanddeel Meulenvelden, Didam Noordoost Middelburg Bestanddeel Meulenvelden, Didam Noordoost Middelburg 1 O O O O Geschiktheid huurwoningen in beeld Geschiktheid koopwoningen in beeld O Veilige en leefbare woonomgeving* O O Gezondheidsvoorziening*** O Diensten aan huis Vervoersdiensten***** O O Ondersteuning mantelzorg***** ** Vaak sprake van een multifunctionele accommodatie. buurt. minuten. Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > Eerste resultaten 54
6 Beleving ouderen Onderzoekers hebben in de proeftuinen open interviews afgenomen met seerd om de vraagpatronen in kaart te brengen: het geheel aan vragen, behoeften en redeneringen van de ouderen 1. afgerond, is er wel al een rode draad te ontdekken in de verhalen van de ouderen. Op basis van die rode draad hebben de onderzoekers een manifest geformuleerd, dat het gemiddelde vraagpatroon van de respondenten, zo veel bijlage Manifest thuiswonende ouderen voeren én om oplossingen te bedenken om beperkingen vanwege de ouderdom op te heffen of te verminderen. Verder komt naar voren dat geleden zelfstandig woonde; het verschil is het sterkst zichtbaar in de meer Langer zelfstandig wonen per proeftuin met vergelijkingsgebieden 90% 80% 70% 60% 50% 40% 30% 20% medische aspecten. Ouderen vragen aandacht voor de kwaliteit van de 13) Met behulp van het door het lectoraat Lokale Dienstverlening vanuit Klantperspectief van de Hogeschool van Arnhem en Nijmegen ontwikkelde vraaganalyse-instrument. 10% 0% Leeuwarden Hoogeveen Hengelo Woonservicegebieden Middelburg Breda Didam Dronten De Bilt Vergelijkingsgebieden Zeevang Helden-Panningen Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > Eerste resultaten 55
7 betekenen dat de woonservicegebieden bereiken wat ze beogen, maar in een gebied waar de voorwaarden voor langer zelfstandig wonen al gebieden. Sociale samenhang proeftuinen en vergelijkingsgebieden Leeuwarden Hoogeveen Hengelo Middelburg Breda Didam Dronten De Bilt Woonservicegebieden Vergelijkingsgebieden Zeevang Helden-Panningen flinke verschillen vertonen wat betreft aanbod en invulling van het arran gement. De effecten van woonservicegebieden Op basis van de eerste resultaten van het onderzoek is een aantal voorzichtige conclusies te trekken over de toegevoegde waarde van het arrangement in een woonservicegebied. hangen van de kwetsbaarheid van de ouderen: hoe kwetsbaarder men is, hoe vaker men vindt dat de thuissituatie moet veranderen. Maar als we ouderen tuinen minder vaak verandering in de thuissituatie wensen dan de zelfstandig wonende ouderen in de database van NPO Noord. Dit ondersteunt de De enquête geeft geen verder uitsluitsel over de werking van specifieke bestanddelen van de arrangementen. Maar gezien de sterke invloed van factoren die kwetsbaarheid beïnvloeden. Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > De effecten van woonservicegebieden 56
8 steding, voorzieningen, zoals winkels, een medisch centrum, apotheek of ontmoe niet zelfstandig zouden kunnen wonen. Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > De effecten van woonservicegebieden 57
9 uit te drukken in termen van afstand: het hangt zeer af van de mate van het oordeel van ouderen over de bereikbaarheid van voorzieningen per vinden. Gemiddelde tevredenheid bereikbaarheid voorzieningen (tevreden 0 tot ontevreden 4) 1,6 1,4 Gemiddelde tevredenheid bereikbaarheid diensten (tevreden 0 tot ontevreden 4) 1,6 1,4 1,2 1 0,8 0,6 0,4 0,2 0 Leeuwarden Hoogeveen Hengelo Didam Dronten De Bilt Zeevang Middelburg Breda Helden-Panningen 1,2 1 0,8 0,6 0,4 0,2 0 Leeuwarden Hoogeveen Hengelo Didam Dronten De Bilt Zeevang Middelburg Breda Helden-Panningen Woonservicebieden > 4. Onderzoek naar effecten woonservicegebieden > De effecten van woonservicegebieden 58
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