Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study

2018 ◽  
Vol 37 (4) ◽  
pp. 275-282 ◽  
Author(s):  
Jenny Day ◽  
Ann C Thorington Taylor ◽  
Sharyn Hunter ◽  
Peter Summons ◽  
Pamela van der Riet ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Descriptive Study ◽  
Qualitative Descriptive

Home care packages: insights into the experiences of older people leading up to the introduction of consumer directed care in Australia

2017 ◽  
Vol 23 (2) ◽  
pp. 162 ◽  
Author(s):  
Jenny Day ◽  
Ann Clare Thorington Taylor ◽  
Peter Summons ◽  
Pamela Van Der Riet ◽  
Sharyn Hunter ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Study Data ◽  
Care Quality ◽  
Two Phase ◽  
Face To Face ◽  
Before And After ◽  
Qualitative Descriptive ◽  
Care Coordinators ◽  
Field Notes

This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-to-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and ‘emotional touchpoints’ relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants’ use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.

Is the Australian 75+ Health Assessment person-centred? A qualitative descriptive study of older people’s perceptions

2017 ◽  
Vol 41 (6) ◽  
pp. 606 ◽  
Author(s):  
Kay Price ◽  
Karen Grimmer ◽  
Jan Foot
Keyword(s):  
Older People ◽  
Health Professionals ◽  
Functional Decline ◽  
Health Assessment ◽  
Well Being ◽  
Descriptive Study ◽  
Community Dwelling ◽  
Primary Health ◽  
Qualitative Descriptive ◽  
Health And Well Being

Objective The aim of the present study was to explore the perspectives of older people following their recent participation in a 75+ Health Assessment (75+HA) and interrogate these perspectives using a person-centred lens. Methods A qualitative descriptive study design was used within a larger study funded by the Australian Primary Health Care Research Institute. Nineteen participants from four different general practices in one Australian state described their perceptions of the 75+HA in a face-to-face interview. Data were then analysed using a qualitative content analysis approach. Results The purpose of the 75+HA was not well understood by participants. Participant responses reveal that where, when, who and how a primary health professional conducted the 75+HA affected what older people talked about, the guidance they sought to deal with issues and, in turn, the actioning of issues that were discussed during the 75+HA. Conclusion To enable older people to make informed decisions about and successfully manage their own health and well being, and to choose when to invite others to act on their behalf, primary health professionals need to ask questions in the 75+HA within a person-centred mindset. The 75+HA is an opportunity to ensure older people know why they need support, which ones, and agree to, supports and services they require. What is known about the topic? The Australian Medicare Benefits Schedule includes the 75+HA, developed as a proactive primary care opportunity for general practitioners and practice nurses to identify issues affecting community-dwelling older people’s health and well being. The aim of the 75+HA is to consider a broad range of factors that could affect physical, psychological and social functioning, which, in turn, affects overall health, and the capacity of older people to live independently in the community. Underlying the 75+HA is the importance of detecting early functional decline to enable healthy aging. What does this paper add? There is scant, if any, attention in the literature to the views of consumers who have completed a 75+HA, especially with regard to whether this opportunity is conducted with a person-centred mindset. This paper addresses this gap. Even after participating in the 75+HA, most participants were unclear as to the purpose of the assessment, what information had been recorded and what would happen from any concerns identified in the assessment. Comments about the 75+HA included that it did not ask people about their goals and what comprised their functionality to ensure their independent living. What are the implications for practitioners? A person-centred approach requires active collaboration between primary health professionals and older people who are living the process of, and planning for, aging-in-place. Assessments like the 75+HA can assist in identifying whether older people may be experiencing early signs of functional decline, even if older people self-report living without problems in their home. Practitioners need to ask questions of older people and respond to what they say with a person-centred mindset.

scholarly journals Health literacy of older people in primary care

2012 ◽  
Vol 25 (spe1) ◽  
pp. 129-135 ◽  
Author(s):  
Lisiane Manganelli Girardi Paskulin ◽  
Carla Cristiane Becker Kottwitz Bierhals ◽  
Daiany Borghetti Valer ◽  
Marinês Aires ◽  
Nara Veras Guimarães ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Literacy ◽  
Health Education ◽  
Older People ◽  
The Elderly ◽  
Descriptive Study ◽  
Primary Care Unit ◽  
Qualitative Descriptive ◽  
Education Groups ◽  
Share Information

OBJECTIVE: To analyze how elderly people linked to health education groups of a primary care unit seek, understand and share information, aiming to maintain and promote health throughout life. METHODS: Qualitative descriptive study, conducted with 30 elderlies linked to three groups of health education during the second semester of 2009. The data collection was performed through interviews and thematic analysis with the assistance of the NVivo software. RESULTS: Five categories of analysis were elaborated - Interest/concern in health, search, understanding, sharing and impact of information on the elderly. CONCLUSIONS: The health literacy in the groups developed in an individual perspective, focused on the prevention and treatment of injuries, respecting the history and knowledge of the subjects and appreciating the possibilities of exchange among them. The results support the planning, implementation and improvement of actions in health education with older people in primary care.

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