Community-based primary health care for older adults: a qualitative study of the perceptions of clients, caregivers and health care providers

BMC Geriatrics

Paul Stolee¹  Selena Santi²  Kelsey Huson¹  Claire Lafortune¹ 

[1]School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo N2L 3G1, ON, Canada

[2]Institutional Research, University of Waterloo, 200 University Avenue West, Waterloo N2L 3G1, ON, Canada

关键词: Caregivers;    Chronic illness;    Health care providers;    Seniors;    Community-based care;    Primary care;   

Others  :  1206383
DOI  :  10.1186/s12877-015-0052-x

 received in 2014-07-07, accepted in 2015-04-20,  发布年份 2015

【 摘 要 】

Background

Older persons are often poorly served by existing models of community-based primary health care (CBPHC). We sought input from clients, informal caregivers, and health care providers on recommendations for system improvements.

Methods

Focus group interviews were held with clients, informal caregivers, and health care providers in mid-sized urban and rural communities in Ontario. Data were analyzed using a combination of directed and emergent coding. Results were shared with participants during a series of feedback sessions.

Results

An extensive list of barriers, facilitators, and recommended health system improvements was generated. Barriers included poor system integration and limited access to services. Identified facilitators were person and family-focused care, self-management resources, and successful collaborative practice. Recommended system improvements included expanding and integrating care teams, supports for system navigation, and development of standardized information systems and care pathways.

Conclusions

Older adults still experience frustrating obstacles when trying to access CBPHC. Identified barriers and facilitators of improved system integration aligned well with current literature and Wagner’s Chronic Care Model. Additional work is needed to implement the recommended improvements and to discern their impact on patient and system outcomes.

【 授权许可】

   
2015 Lafortune et al.; licensee BioMed Central.

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