Cargando…
Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study
BACKGROUND: Home-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of formal health and social care as well as info...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9663289/ https://www.ncbi.nlm.nih.gov/pubmed/36376806 http://dx.doi.org/10.1186/s12877-022-03552-z |
_version_ | 1784830839821959168 |
---|---|
author | Yip, Olivia Dhaini, Suzanne Esser, Jan Siqeca, Flaka Mendieta, Maria Jose Huber, Evelyn Zeller, Andreas De Geest, Sabina Deschodt, Mieke Zúñiga, Franziska Zullig, Leah L. King, Heather A. |
author_facet | Yip, Olivia Dhaini, Suzanne Esser, Jan Siqeca, Flaka Mendieta, Maria Jose Huber, Evelyn Zeller, Andreas De Geest, Sabina Deschodt, Mieke Zúñiga, Franziska Zullig, Leah L. King, Heather A. |
author_sort | Yip, Olivia |
collection | PubMed |
description | BACKGROUND: Home-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of formal health and social care as well as informal care and social support used by home-dwelling frail older adults; whether they perceive their support as sufficient; and their experience with and preferences for care and support. METHODS: Using an explanatory sequential mixed methods design, we first conducted a secondary analysis of a subset of cross-sectional data from the ImplemeNtation of a community-baSed care Program for home dwelling senIoR citizEns (INSPIRE) population survey using descriptive analysis. Subsequently, we analyzed existing data from interviews in the parent study to help explain the survey results using applied thematic analysis. Results were organized according to adapted domains and concepts of the SELFIE framework and integrated via a joint display table. RESULTS: Of the parent population survey respondents, 2314 older adults indicating frailty were included in the quantitative arm of this study. Interview data was included from 7 older adults who indicated frailty. Support from health and social, formal and informal caregivers is diverse and anticipated to increase (e.g., for ‘care and assistance at home’ and ‘meal services’). Informal caregivers fulfilled various roles and while some older adults strongly relied on them for support, others feared burdening them. Most participants (93.5%) perceived their overall support to meet their needs; however, findings suggest areas (e.g., assessment of overall needs) which merit attention to optimize future care. CONCLUSIONS: Given the anticipated demand for future care and support, we recommend efforts to prevent fragmentation between health and social as well as formal and informal care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03552-z. |
format | Online Article Text |
id | pubmed-9663289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96632892022-11-14 Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study Yip, Olivia Dhaini, Suzanne Esser, Jan Siqeca, Flaka Mendieta, Maria Jose Huber, Evelyn Zeller, Andreas De Geest, Sabina Deschodt, Mieke Zúñiga, Franziska Zullig, Leah L. King, Heather A. BMC Geriatr Research BACKGROUND: Home-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of formal health and social care as well as informal care and social support used by home-dwelling frail older adults; whether they perceive their support as sufficient; and their experience with and preferences for care and support. METHODS: Using an explanatory sequential mixed methods design, we first conducted a secondary analysis of a subset of cross-sectional data from the ImplemeNtation of a community-baSed care Program for home dwelling senIoR citizEns (INSPIRE) population survey using descriptive analysis. Subsequently, we analyzed existing data from interviews in the parent study to help explain the survey results using applied thematic analysis. Results were organized according to adapted domains and concepts of the SELFIE framework and integrated via a joint display table. RESULTS: Of the parent population survey respondents, 2314 older adults indicating frailty were included in the quantitative arm of this study. Interview data was included from 7 older adults who indicated frailty. Support from health and social, formal and informal caregivers is diverse and anticipated to increase (e.g., for ‘care and assistance at home’ and ‘meal services’). Informal caregivers fulfilled various roles and while some older adults strongly relied on them for support, others feared burdening them. Most participants (93.5%) perceived their overall support to meet their needs; however, findings suggest areas (e.g., assessment of overall needs) which merit attention to optimize future care. CONCLUSIONS: Given the anticipated demand for future care and support, we recommend efforts to prevent fragmentation between health and social as well as formal and informal care. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03552-z. BioMed Central 2022-11-15 /pmc/articles/PMC9663289/ /pubmed/36376806 http://dx.doi.org/10.1186/s12877-022-03552-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Yip, Olivia Dhaini, Suzanne Esser, Jan Siqeca, Flaka Mendieta, Maria Jose Huber, Evelyn Zeller, Andreas De Geest, Sabina Deschodt, Mieke Zúñiga, Franziska Zullig, Leah L. King, Heather A. Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study |
title | Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study |
title_full | Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study |
title_fullStr | Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study |
title_full_unstemmed | Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study |
title_short | Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study |
title_sort | health and social care of home-dwelling frail older adults in switzerland: a mixed methods study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9663289/ https://www.ncbi.nlm.nih.gov/pubmed/36376806 http://dx.doi.org/10.1186/s12877-022-03552-z |
work_keys_str_mv | AT yipolivia healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT dhainisuzanne healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT esserjan healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT siqecaflaka healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT mendietamariajose healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT huberevelyn healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT zellerandreas healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT degeestsabina healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT deschodtmieke healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT zunigafranziska healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT zulligleahl healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT kingheathera healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy AT healthandsocialcareofhomedwellingfrailolderadultsinswitzerlandamixedmethodsstudy |