Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study
Abstract 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...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03552-z |
| _version_ | 1797983899147567104 |
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| author | Olivia Yip Suzanne Dhaini Jan Esser Flaka Siqeca Maria Jose Mendieta Evelyn Huber Andreas Zeller Sabina De Geest Mieke Deschodt Franziska Zúñiga Leah L. Zullig Heather A. King the INSPIRE consortium |
| author_facet | Olivia Yip Suzanne Dhaini Jan Esser Flaka Siqeca Maria Jose Mendieta Evelyn Huber Andreas Zeller Sabina De Geest Mieke Deschodt Franziska Zúñiga Leah L. Zullig Heather A. King the INSPIRE consortium |
| author_sort | Olivia Yip |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-11T06:54:40Z |
| format | Article |
| id | doaj.art-7bc113d73dc348b2b4158400f8a911eb |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-11T06:54:40Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-7bc113d73dc348b2b4158400f8a911eb2022-12-22T04:39:04ZengBMCBMC Geriatrics1471-23182022-11-0122111610.1186/s12877-022-03552-zHealth and social care of home-dwelling frail older adults in Switzerland: a mixed methods studyOlivia Yip0Suzanne Dhaini1Jan Esser2Flaka Siqeca3Maria Jose Mendieta4Evelyn Huber5Andreas Zeller6Sabina De Geest7Mieke Deschodt8Franziska Zúñiga9Leah L. Zullig10Heather A. King11the INSPIRE consortiumInstitute of Nursing Science, Department of Public Health, University of BaselInstitute of Nursing Science, Department of Public Health, University of BaselInstitute of Nursing Science, Department of Public Health, University of BaselInstitute of Nursing Science, Department of Public Health, University of BaselInstitute of Nursing Science, Department of Public Health, University of BaselInstitute of Nursing, School of Health Professions, ZHAW Zurich University of Applied SciencesCentre for Primary Health Care, University of BaselInstitute of Nursing Science, Department of Public Health, University of BaselGerontology and Geriatrics, Department of Public Health and Primary Care, KU LeuvenInstitute of Nursing Science, Department of Public Health, University of BaselDepartment of Population Health Sciences, Duke University School of MedicineDepartment of Population Health Sciences, Duke University School of MedicineAbstract 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.https://doi.org/10.1186/s12877-022-03552-zDelivery of healthcare, integratedCommunity-careFrail elderlySocial supportFormal and informal care |
| spellingShingle | Olivia Yip Suzanne Dhaini Jan Esser Flaka Siqeca Maria Jose Mendieta Evelyn Huber Andreas Zeller Sabina De Geest Mieke Deschodt Franziska Zúñiga Leah L. Zullig Heather A. King the INSPIRE consortium Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study BMC Geriatrics Delivery of healthcare, integrated Community-care Frail elderly Social support Formal and informal care |
| 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 | Delivery of healthcare, integrated Community-care Frail elderly Social support Formal and informal care |
| url | https://doi.org/10.1186/s12877-022-03552-z |
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