Advanced

Exploring access to care among older people in the last phase of life using the behavioural model of health services use: a qualitative study from the perspective of the next of kin of older persons who had died in a nursing home

Condelius, Anna LU and Andersson, Magdalena LU (2015) In BMC Geriatrics 15.
Abstract
Background: There is little investigation into what care older people access during the last phase of their life and

what factors enable access to care in this group. Illuminating this from the perspective of the next of kin may

provide valuable insights into how the health and social care system operates with reference to providing care for

this vulnerable group. The behavioural model of health services use has a wide field of application but has not

been tested conceptually regarding access to care from the perspective of the next of kin. The aim of this study

was to explore the care accessed by older people during the last phase of their life from the perspective of the

next of kin... (More)
Background: There is little investigation into what care older people access during the last phase of their life and

what factors enable access to care in this group. Illuminating this from the perspective of the next of kin may

provide valuable insights into how the health and social care system operates with reference to providing care for

this vulnerable group. The behavioural model of health services use has a wide field of application but has not

been tested conceptually regarding access to care from the perspective of the next of kin. The aim of this study

was to explore the care accessed by older people during the last phase of their life from the perspective of the

next of kin and to conceptually test the behavioural model of health services use.

Methods: The data collection took place in 2011 by means of qualitative interviews with 14 next of kin of older

people who had died in a nursing home. The interviews were analysed using directed content analysis. The

behavioural model of health services use was used in deriving the initial coding scheme, including the categories:

utilization of health services, consumer satisfaction and characteristics of the population at risk.

Results: Utilization of health services in the last phase of life was described in five subcategories named after the

type of care accessed i.e. admission to a nursing home, primary healthcare, hospital care, dental care and informal

care. The needs were illuminated in the subcategories: general deterioration, medical conditions and acute illness

and deterioration when death approaches. Factors that enabled access to care were described in three

subcategories: the organisation of care, next of kin and the older person. These factors could also constitute barriers

to accessing care. Next of kin’s satisfaction with care was illuminated in the subcategories: satisfaction,

dissatisfaction and factors influencing satisfaction. One new category was constructed inductively: the situation of

the next of kin. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Health services accessibility, Aged/80 and over, Next of kin, Nursing homes, Qualitative Research
in
BMC Geriatrics
volume
15
publisher
BioMed Central
external identifiers
  • pmid:26502955
  • wos:000363365800003
  • scopus:84945262404
ISSN
1471-2318
DOI
10.1186/s12877-015-0126-9
language
English
LU publication?
yes
id
f7bdde2c-77fd-4c9f-8110-b1b6eba8844e (old id 8113547)
date added to LUP
2015-10-27 14:39:34
date last changed
2017-04-09 03:51:12
@article{f7bdde2c-77fd-4c9f-8110-b1b6eba8844e,
  abstract     = {Background: There is little investigation into what care older people access during the last phase of their life and<br/><br>
what factors enable access to care in this group. Illuminating this from the perspective of the next of kin may<br/><br>
provide valuable insights into how the health and social care system operates with reference to providing care for<br/><br>
this vulnerable group. The behavioural model of health services use has a wide field of application but has not<br/><br>
been tested conceptually regarding access to care from the perspective of the next of kin. The aim of this study<br/><br>
was to explore the care accessed by older people during the last phase of their life from the perspective of the<br/><br>
next of kin and to conceptually test the behavioural model of health services use.<br/><br>
Methods: The data collection took place in 2011 by means of qualitative interviews with 14 next of kin of older<br/><br>
people who had died in a nursing home. The interviews were analysed using directed content analysis. The<br/><br>
behavioural model of health services use was used in deriving the initial coding scheme, including the categories:<br/><br>
utilization of health services, consumer satisfaction and characteristics of the population at risk.<br/><br>
Results: Utilization of health services in the last phase of life was described in five subcategories named after the<br/><br>
type of care accessed i.e. admission to a nursing home, primary healthcare, hospital care, dental care and informal<br/><br>
care. The needs were illuminated in the subcategories: general deterioration, medical conditions and acute illness<br/><br>
and deterioration when death approaches. Factors that enabled access to care were described in three<br/><br>
subcategories: the organisation of care, next of kin and the older person. These factors could also constitute barriers<br/><br>
to accessing care. Next of kin’s satisfaction with care was illuminated in the subcategories: satisfaction,<br/><br>
dissatisfaction and factors influencing satisfaction. One new category was constructed inductively: the situation of<br/><br>
the next of kin.},
  articleno    = {138},
  author       = {Condelius, Anna and Andersson, Magdalena},
  issn         = {1471-2318},
  keyword      = {Health services accessibility,Aged/80 and over,Next of kin,Nursing homes,Qualitative Research},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Geriatrics},
  title        = {Exploring access to care among older people in the last phase of life using the behavioural model of health services use: a qualitative study from the perspective of the next of kin of older persons who had died in a nursing home},
  url          = {http://dx.doi.org/10.1186/s12877-015-0126-9},
  volume       = {15},
  year         = {2015},
}