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
(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:
https://lup.lub.lu.se/record/8113547
- author
- Condelius, Anna LU and Andersson, Magdalena LU
- organization
- publishing date
- 2015
- 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
- article number
- 138
- publisher
- BioMed Central (BMC)
- external identifiers
-
- pmid:26502955
- wos:000363365800003
- scopus:84945262404
- pmid:26502955
- 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
- 2016-04-01 13:17:25
- date last changed
- 2022-04-21 20:51:55
@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.}},
author = {{Condelius, Anna and Andersson, Magdalena}},
issn = {{1471-2318}},
keywords = {{Health services accessibility; Aged/80 and over; Next of kin; Nursing homes; Qualitative Research}},
language = {{eng}},
publisher = {{BioMed Central (BMC)}},
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 = {{https://lup.lub.lu.se/search/files/3279071/8119158.pdf}},
doi = {{10.1186/s12877-015-0126-9}},
volume = {{15}},
year = {{2015}},
}