What older adults want from their health care providers

Changing demographic trends and population needs have increased demand for chronic complex care and contributed to rising health care costs. The study sought to identify unmet health care needs of older adults and opportunities for service improvement in a high need suburban neighborhood of a prairi...

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Autores principales:	Hazel Williams-Roberts, Sylvia Abonyi, Julie Kryzanowski
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	patient experience patient engagement integrated healthcare Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b3443ed3ad724f4bb109ca3b56d41ed9
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spelling	oai:doaj.org-article:b3443ed3ad724f4bb109ca3b56d41ed92021-11-15T04:25:59ZWhat older adults want from their health care providers2372-0247https://doaj.org/article/b3443ed3ad724f4bb109ca3b56d41ed92018-11-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss3/11https://doaj.org/toc/2372-0247Changing demographic trends and population needs have increased demand for chronic complex care and contributed to rising health care costs. The study sought to identify unmet health care needs of older adults and opportunities for service improvement in a high need suburban neighborhood of a prairie province. The insights provided by older adults informed the service design for a new model of integrated care in community settings. Narrative inquiry methodology was used to understand care experiences through stories. Stories of older adults’ health care journeys were elicited with semi-structured interviews. A paradigmatic approach to analysis was applied with holistic coding, mapping of story elements followed by comparison and theming across participants’ stories. Older adults perceived that relationship and informational continuity fostered effective communication and supported coordination of care. Timely access to care was valued and flexibility in types of medical encounters was suggested as an option to improve provider responsiveness. Access to information about community resources was limited and older adults required support with navigation. Structural (e.g. availability of services and transportation), financial and personal barriers exist for older adults to access and use community health services. Health care transitions were inadequately supported by comprehensive discharge planning, timely communication and follow up post discharge. New models of care need to embrace person-centred and goal directed approaches to the delivery of care to improve patient experience. Older adults offer valuable perspectives as community partners and co-designers of systems change in efforts to re-engineer health services.Hazel Williams-RobertsSylvia AbonyiJulie KryzanowskiThe Beryl Institutearticlepatient experiencepatient engagementintegrated healthcareMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience patient engagement integrated healthcare Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience patient engagement integrated healthcare Medicine (General) R5-920 Public aspects of medicine RA1-1270 Hazel Williams-Roberts Sylvia Abonyi Julie Kryzanowski What older adults want from their health care providers
description	Changing demographic trends and population needs have increased demand for chronic complex care and contributed to rising health care costs. The study sought to identify unmet health care needs of older adults and opportunities for service improvement in a high need suburban neighborhood of a prairie province. The insights provided by older adults informed the service design for a new model of integrated care in community settings. Narrative inquiry methodology was used to understand care experiences through stories. Stories of older adults’ health care journeys were elicited with semi-structured interviews. A paradigmatic approach to analysis was applied with holistic coding, mapping of story elements followed by comparison and theming across participants’ stories. Older adults perceived that relationship and informational continuity fostered effective communication and supported coordination of care. Timely access to care was valued and flexibility in types of medical encounters was suggested as an option to improve provider responsiveness. Access to information about community resources was limited and older adults required support with navigation. Structural (e.g. availability of services and transportation), financial and personal barriers exist for older adults to access and use community health services. Health care transitions were inadequately supported by comprehensive discharge planning, timely communication and follow up post discharge. New models of care need to embrace person-centred and goal directed approaches to the delivery of care to improve patient experience. Older adults offer valuable perspectives as community partners and co-designers of systems change in efforts to re-engineer health services.
format	article
author	Hazel Williams-Roberts Sylvia Abonyi Julie Kryzanowski
author_facet	Hazel Williams-Roberts Sylvia Abonyi Julie Kryzanowski
author_sort	Hazel Williams-Roberts
title	What older adults want from their health care providers
title_short	What older adults want from their health care providers
title_full	What older adults want from their health care providers
title_fullStr	What older adults want from their health care providers
title_full_unstemmed	What older adults want from their health care providers
title_sort	what older adults want from their health care providers
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/b3443ed3ad724f4bb109ca3b56d41ed9
work_keys_str_mv	AT hazelwilliamsroberts whatolderadultswantfromtheirhealthcareproviders AT sylviaabonyi whatolderadultswantfromtheirhealthcareproviders AT juliekryzanowski whatolderadultswantfromtheirhealthcareproviders
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What older adults want from their health care providers

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