A qualitative study of health‐care experiences and challenges faced by ageing homebound adults
Abstract Background The ageing of the global population is associated with an increasing prevalence of chronic diseases and functional impairments, resulting in a greater proportion of homebound individuals. Objective To examine the health‐care experiences of older homebound adults who have not prev...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-08-01
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| Series: | Health Expectations |
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| Online Access: | https://doi.org/10.1111/hex.13072 |
| _version_ | 1828841077372616704 |
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| author | Joyce M. Cheng George P. Batten Thomas Cornwell Nengliang Yao |
| author_facet | Joyce M. Cheng George P. Batten Thomas Cornwell Nengliang Yao |
| author_sort | Joyce M. Cheng |
| collection | DOAJ |
| description | Abstract Background The ageing of the global population is associated with an increasing prevalence of chronic diseases and functional impairments, resulting in a greater proportion of homebound individuals. Objective To examine the health‐care experiences of older homebound adults who have not previously received home‐based primary care (HBPC). To explore their impressions of this method of care. Design Cross‐sectional qualitative study using semi‐structured interviews. Setting and Participants 18 older homebound individuals in Central Virginia. Results Our findings revealed that homebound individuals faced significant health challenges, including pain resulting from various comorbidities. They felt that their mobility was restricted by their physical conditions and transportation challenges. These were major barriers to social outings and health‐care access. Participants left their homes infrequently and typically with assistance. Regarding office‐based care, participants were concerned about long wait times and making timely appointments. Some thought that HBPC would be convenient and could result in better quality care; however, others believed that the structure of the health‐care system and its focus on efficiency would not permit routine HBPC. Discussion and Conclusions Older homebound adults in this study faced high burdens of disease, a lack of mobility and difficulty accessing quality health care. Our observations may help researchers and clinicians better understand the health‐care experiences and personal opinions of older homebound individuals, informing the development of effective and empathetic home‐based care. Participant responses illuminated a need for education about HBPC. We must improve health‐care delivery and develop comprehensive, patient‐centered HBPC to meet the needs of homebound individuals. |
| first_indexed | 2024-12-12T19:55:49Z |
| format | Article |
| id | doaj.art-ecaddf212bad4b90b2516084933c59b1 |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-12-12T19:55:49Z |
| publishDate | 2020-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-ecaddf212bad4b90b2516084933c59b12022-12-22T00:13:53ZengWileyHealth Expectations1369-65131369-76252020-08-0123493494210.1111/hex.13072A qualitative study of health‐care experiences and challenges faced by ageing homebound adultsJoyce M. Cheng0George P. Batten1Thomas Cornwell2Nengliang Yao3University of Virginia College of Arts and Sciences Charlottesville VA United StatesUniversity of Virginia Cancer Center Charlottesville VA United StatesHome Centered Care Institute Schaumburg IL United StatesShandong University School of Health Care Management (NHC Key Laboratory of Health Economics and Policy Research) Jinan ChinaAbstract Background The ageing of the global population is associated with an increasing prevalence of chronic diseases and functional impairments, resulting in a greater proportion of homebound individuals. Objective To examine the health‐care experiences of older homebound adults who have not previously received home‐based primary care (HBPC). To explore their impressions of this method of care. Design Cross‐sectional qualitative study using semi‐structured interviews. Setting and Participants 18 older homebound individuals in Central Virginia. Results Our findings revealed that homebound individuals faced significant health challenges, including pain resulting from various comorbidities. They felt that their mobility was restricted by their physical conditions and transportation challenges. These were major barriers to social outings and health‐care access. Participants left their homes infrequently and typically with assistance. Regarding office‐based care, participants were concerned about long wait times and making timely appointments. Some thought that HBPC would be convenient and could result in better quality care; however, others believed that the structure of the health‐care system and its focus on efficiency would not permit routine HBPC. Discussion and Conclusions Older homebound adults in this study faced high burdens of disease, a lack of mobility and difficulty accessing quality health care. Our observations may help researchers and clinicians better understand the health‐care experiences and personal opinions of older homebound individuals, informing the development of effective and empathetic home‐based care. Participant responses illuminated a need for education about HBPC. We must improve health‐care delivery and develop comprehensive, patient‐centered HBPC to meet the needs of homebound individuals.https://doi.org/10.1111/hex.13072health carehome‐based primary carehomeboundmobility limitationsolder adultsqualitative interviews |
| spellingShingle | Joyce M. Cheng George P. Batten Thomas Cornwell Nengliang Yao A qualitative study of health‐care experiences and challenges faced by ageing homebound adults Health Expectations health care home‐based primary care homebound mobility limitations older adults qualitative interviews |
| title | A qualitative study of health‐care experiences and challenges faced by ageing homebound adults |
| title_full | A qualitative study of health‐care experiences and challenges faced by ageing homebound adults |
| title_fullStr | A qualitative study of health‐care experiences and challenges faced by ageing homebound adults |
| title_full_unstemmed | A qualitative study of health‐care experiences and challenges faced by ageing homebound adults |
| title_short | A qualitative study of health‐care experiences and challenges faced by ageing homebound adults |
| title_sort | qualitative study of health care experiences and challenges faced by ageing homebound adults |
| topic | health care home‐based primary care homebound mobility limitations older adults qualitative interviews |
| url | https://doi.org/10.1111/hex.13072 |
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