Vulnerable older people's views on proactive care planning - a qualitative interview study in primary care.
Older Adults
Primary Health Care
Qualitative research
Journal
BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531
Informations de publication
Date de publication:
02 Oct 2024
02 Oct 2024
Historique:
received:
05
07
2024
revised:
22
07
2024
accepted:
05
08
2024
medline:
3
10
2024
pubmed:
3
10
2024
entrez:
2
10
2024
Statut:
aheadofprint
Résumé
Patients in old age often have complex care needs due to multimorbidity and polypharmacy. This qualitative study is part of a larger ongoing Swedish intervention trial To explore, in a primary care setting, the views of older and vulnerable patients on a more systematic, proactive approach to care planning, including establishing and documenting care agreements based on person-centred goals. Individual semi-structured interviews with patients (n 25) aged>75 years from 12 intervention primary health care centres. Qualitative content analysis. Three categories, with 10 sub-categories, were found: This study emphasises that older, vulnerable persons have varying attitudes towards participation in proactive care planning. This ambivalence may originate from the individuals' desire to have their autonomy respected on the one hand and to avoid or postpone end-of-life conversations and care planning on the other hand. Patients also expressed a desire to be more actively involved in care planning. Although care agreements have the potential to increase patient involvement in proactive care planning, they often went unnoticed. The conversation itself was essential.
Sections du résumé
BACKGROUND
BACKGROUND
Patients in old age often have complex care needs due to multimorbidity and polypharmacy. This qualitative study is part of a larger ongoing Swedish intervention trial
AIM
OBJECTIVE
To explore, in a primary care setting, the views of older and vulnerable patients on a more systematic, proactive approach to care planning, including establishing and documenting care agreements based on person-centred goals.
DESIGN & SETTING
METHODS
Individual semi-structured interviews with patients (n 25) aged>75 years from 12 intervention primary health care centres.
METHOD
METHODS
Qualitative content analysis.
RESULTS
RESULTS
Three categories, with 10 sub-categories, were found:
CONCLUSION
CONCLUSIONS
This study emphasises that older, vulnerable persons have varying attitudes towards participation in proactive care planning. This ambivalence may originate from the individuals' desire to have their autonomy respected on the one hand and to avoid or postpone end-of-life conversations and care planning on the other hand. Patients also expressed a desire to be more actively involved in care planning. Although care agreements have the potential to increase patient involvement in proactive care planning, they often went unnoticed. The conversation itself was essential.
Identifiants
pubmed: 39357903
pii: BJGPO.2024.0167
doi: 10.3399/BJGPO.2024.0167
pii:
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2024, The Authors.