Key stakeholders’ views on the quality of care and services available to frail seniors in Canada
Abstract Background Frail seniors often receive ineffective care, which does not meet their needs. It is still unclear how healthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and their caregivers. We thus aimed to describe key stakeholders’ perspecti...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-018-0969-y |
| _version_ | 1818140010230054912 |
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| author | Anik M. C. Giguere Elina Farmanova Jayna M. Holroyd-Leduc Sharon E. Straus Robin Urquhart Valerie Carnovale Erik Breton Selynne Guo Nandini Maharaj Pierre J. Durand France Légaré Alexis F. Turgeon Michèle Aubin |
| author_facet | Anik M. C. Giguere Elina Farmanova Jayna M. Holroyd-Leduc Sharon E. Straus Robin Urquhart Valerie Carnovale Erik Breton Selynne Guo Nandini Maharaj Pierre J. Durand France Légaré Alexis F. Turgeon Michèle Aubin |
| author_sort | Anik M. C. Giguere |
| collection | DOAJ |
| description | Abstract Background Frail seniors often receive ineffective care, which does not meet their needs. It is still unclear how healthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and their caregivers. We thus aimed to describe key stakeholders’ perspectives on the current healthcare and services available to frail seniors. Methods In this qualitative descriptive study, we conducted semi-structured interviews with a convenience sample of 42 frail seniors, caregivers, clinicians, or healthcare administrators/decision makers involved in frail senior care from five Canadian provinces. We explored participants’ perspectives on the quality of care and services for frail seniors. We used an inductive/deductive thematic data analysis approach based on the Square-of-Care model, including emerging themes using the constant comparison method. Results We grouped participants’ perspectives into strengths, weaknesses and opportunities for improvement, and then into nine themes: care processes, continuity of care, social frailty, access to healthcare and services, models of healthcare delivery, cost of care, healthcare staff management and professional development of healthcare providers, material resources and environmental design of healthcare facilities, and coordination of care. Our findings suggest redesigning assessment, communication with frail seniors and their caregivers, targeting care and services to the needs, and integrating care better across settings and in time. Conclusions A systematic identification of frail older people is the first step to adapt healthcare systems to this population’s needs. Participation of frail older people and their caregivers to decision making would also allow choosing care plans meeting their care goals. The integration of care and services across settings, over time, and with various providers, is also needed to meet frail senior needs. |
| first_indexed | 2024-12-11T10:37:11Z |
| format | Article |
| id | doaj.art-d0f2371f14e847e79084e3103b602725 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-11T10:37:11Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-d0f2371f14e847e79084e3103b6027252022-12-22T01:10:40ZengBMCBMC Geriatrics1471-23182018-11-0118111410.1186/s12877-018-0969-yKey stakeholders’ views on the quality of care and services available to frail seniors in CanadaAnik M. C. Giguere0Elina Farmanova1Jayna M. Holroyd-Leduc2Sharon E. Straus3Robin Urquhart4Valerie Carnovale5Erik Breton6Selynne Guo7Nandini Maharaj8Pierre J. Durand9France Légaré10Alexis F. Turgeon11Michèle Aubin12Department of Family Medicine and Emergency Medicine, Laval UniversityDepartment of Family Medicine and Emergency Medicine, Laval UniversitySection of Geriatric Medicine, Departments of Medicine and CHS, University of CalgaryDepartment of Medicine, University of TorontoDepartment of Surgery, Dalhousie UniversityDepartment of Family Medicine and Emergency Medicine, Laval UniversityDepartment of Family Medicine and Emergency Medicine, Laval UniversitySection of Geriatric Medicine, Departments of Medicine and CHS, University of CalgarySchool of Population and Public Health, University of British ColumbiaQuebec Centre for Excellence in Aging, St. Sacrement HospitalDepartment of Family Medicine and Emergency Medicine, Laval UniversityLaval University Research Centre of the CHU de Quebec, Population Health and Optimal Health Practices UnitDepartment of Family Medicine and Emergency Medicine, Laval UniversityAbstract Background Frail seniors often receive ineffective care, which does not meet their needs. It is still unclear how healthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and their caregivers. We thus aimed to describe key stakeholders’ perspectives on the current healthcare and services available to frail seniors. Methods In this qualitative descriptive study, we conducted semi-structured interviews with a convenience sample of 42 frail seniors, caregivers, clinicians, or healthcare administrators/decision makers involved in frail senior care from five Canadian provinces. We explored participants’ perspectives on the quality of care and services for frail seniors. We used an inductive/deductive thematic data analysis approach based on the Square-of-Care model, including emerging themes using the constant comparison method. Results We grouped participants’ perspectives into strengths, weaknesses and opportunities for improvement, and then into nine themes: care processes, continuity of care, social frailty, access to healthcare and services, models of healthcare delivery, cost of care, healthcare staff management and professional development of healthcare providers, material resources and environmental design of healthcare facilities, and coordination of care. Our findings suggest redesigning assessment, communication with frail seniors and their caregivers, targeting care and services to the needs, and integrating care better across settings and in time. Conclusions A systematic identification of frail older people is the first step to adapt healthcare systems to this population’s needs. Participation of frail older people and their caregivers to decision making would also allow choosing care plans meeting their care goals. The integration of care and services across settings, over time, and with various providers, is also needed to meet frail senior needs.http://link.springer.com/article/10.1186/s12877-018-0969-yDelivery of health careFrailtyHealth planningHealth services needs and demandQuality of health careQuality improvement |
| spellingShingle | Anik M. C. Giguere Elina Farmanova Jayna M. Holroyd-Leduc Sharon E. Straus Robin Urquhart Valerie Carnovale Erik Breton Selynne Guo Nandini Maharaj Pierre J. Durand France Légaré Alexis F. Turgeon Michèle Aubin Key stakeholders’ views on the quality of care and services available to frail seniors in Canada BMC Geriatrics Delivery of health care Frailty Health planning Health services needs and demand Quality of health care Quality improvement |
| title | Key stakeholders’ views on the quality of care and services available to frail seniors in Canada |
| title_full | Key stakeholders’ views on the quality of care and services available to frail seniors in Canada |
| title_fullStr | Key stakeholders’ views on the quality of care and services available to frail seniors in Canada |
| title_full_unstemmed | Key stakeholders’ views on the quality of care and services available to frail seniors in Canada |
| title_short | Key stakeholders’ views on the quality of care and services available to frail seniors in Canada |
| title_sort | key stakeholders views on the quality of care and services available to frail seniors in canada |
| topic | Delivery of health care Frailty Health planning Health services needs and demand Quality of health care Quality improvement |
| url | http://link.springer.com/article/10.1186/s12877-018-0969-y |
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