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Perceived value of support for older adults coping with multi-morbidity
 — patient, informal care-giver and family physician perspectives
Author(s)Gayathri Naganathan, Kerry Kuluski, Ashlinder Gill
Journal titleAgeing and Society, vol 36, no 9, October 2016
PublisherCambridge University Press, October 2016
Pagespp 1891-1914
Sourcejournals.cambridge.org/aso
KeywordsChronic illness ; Ill health ; Services ; Health services ; Attitude ; Patients ; Informal care ; General practitioners ; Qualitative Studies ; Canada.
AnnotationThe perceived value of informal and formal supports for older adults with multi-morbidity was investigated from the perspectives of patients, care-givers and family physicians. Semi-structured interviews were conducted with 27 patients, their informal care-givers and their family physicians in an urban academic family health team in Ontario, Canada. Analysis was conducted using a General Inductive Approach to facilitate identification of main themes and to build a framework of perceived value of supports. Participant views converged on supports that facilitate patient independence and ease care-giver burden. However, important differences in participant perceptions arose regarding these priorities. Physicians and care-givers valued supports that facilitate health and safety, while patients prioritised supports that enable self-efficacy and independence. While formal supports which eased care-giver burden were viewed positively by all members of the triad, many patients also rejected formal supports, citing that informal support from their care-giver was available. Such conflicts between patient, care-giver and physician-perceived value of supports may have important implications for consumer and care-giver willingness to accept formal supports when supports are available. These findings contribute to the broader literature on community-based care, by incorporating the perspectives of patients, informal care-givers and family physicians to understand better the barriers and facilitators of uptake of supportive services that contribute to successful ageing at home. (RH).
Accession NumberCPA-161011006 A
ClassmarkCI: CH: I: L: DP: LF: P6: QT6: 3DP: 7S

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