Suchergebnisse

OBJECTIVE: The study of care trajectories of psychiatric patients across hospitals was previously not possible in Belgium as each hospital stores its data autonomously, and government-related registrations do not contain a unique identifier or are incomplete. A new longitudinal database called iPSYcare (Improved Psychiatric Care and Research) was therefore constructed in 2021, and links the electronic medical records of patients in psychiatric units of eight hospitals in the Antwerp Province, Belgium. The database provides a wide range of information on patients, care trajectories and delivered care in the region. In a first phase, the database will only contain information about adult patients who were admitted to a hospital or treated by an outreach team and who gave explicit consent. In the future, the database may be expanded to other regions and additional data on outpatient care may be added. RESULTS: IPSYcare is a close collaboration between the University of Antwerp and hospitals in the province of Antwerp. This paper describes the development of the database, how privacy and ethical issues will be handled, and how the governance of the database will be organized.

In the twentieth century, Emirdağ (Turkey) witnessed extensive emigration and is now home to the 'zero generation': a group of elderly people who stayed behind when their children moved abroad. We investigate how these elderly people, with at least one child who left the country, evaluate their situation as they have grown older. Using fieldwork observations and in-depth interviews, we found that this group mainly associated the migration of their offspring with loneliness and exclusion from society, due to separation from their children and changes in the traditional family culture. The respondents clearly note a shift in the social position of family elders in Turkish culture, from highly respected to being ignored and looked down upon. While this change in status might be experienced by all elderly inhabitants of the region, feelings of distress were reinforced by an emerging discourse which suggests the migration project is a failed enterprise. The constraints their children experience in the immigrant country have led the zero generation to rely less on them and become more dependent on their own resources. Future research on ageing, migration and transnational care should focus on the different ways in which migration systems evolve, and the long-term effects on social inclusion of all generations.