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Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study.

Publication ,  Journal Article
Yip, O; Dhaini, S; Esser, J; Siqeca, F; Mendieta, MJ; Huber, E; Zeller, A; De Geest, S; Deschodt, M; Zúñiga, F; Zullig, LL; King, HA ...
Published in: BMC Geriatr
November 15, 2022

BACKGROUND: Home-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of formal health and social care as well as informal care and social support used by home-dwelling frail older adults; whether they perceive their support as sufficient; and their experience with and preferences for care and support. METHODS: Using an explanatory sequential mixed methods design, we first conducted a secondary analysis of a subset of cross-sectional data from the ImplemeNtation of a community-baSed care Program for home dwelling senIoR citizEns (INSPIRE) population survey using descriptive analysis. Subsequently, we analyzed existing data from interviews in the parent study to help explain the survey results using applied thematic analysis. Results were organized according to adapted domains and concepts of the SELFIE framework and integrated via a joint display table. RESULTS: Of the parent population survey respondents, 2314 older adults indicating frailty were included in the quantitative arm of this study. Interview data was included from 7 older adults who indicated frailty. Support from health and social, formal and informal caregivers is diverse and anticipated to increase (e.g., for 'care and assistance at home' and 'meal services'). Informal caregivers fulfilled various roles and while some older adults strongly relied on them for support, others feared burdening them. Most participants (93.5%) perceived their overall support to meet their needs; however, findings suggest areas (e.g., assessment of overall needs) which merit attention to optimize future care. CONCLUSIONS: Given the anticipated demand for future care and support, we recommend efforts to prevent fragmentation between health and social as well as formal and informal care.

Duke Scholars

Published In

BMC Geriatr

DOI

EISSN

1471-2318

Publication Date

November 15, 2022

Volume

22

Issue

1

Start / End Page

857

Location

England

Related Subject Headings

  • Switzerland
  • Social Support
  • Humans
  • Geriatrics
  • Frailty
  • Frail Elderly
  • Cross-Sectional Studies
  • Caregivers
  • Aged
  • 4206 Public health
 

Citation

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Yip, O., Dhaini, S., Esser, J., Siqeca, F., Mendieta, M. J., Huber, E., … INSPIRE consortium, . (2022). Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study. BMC Geriatr, 22(1), 857. https://doi.org/10.1186/s12877-022-03552-z
Yip, Olivia, Suzanne Dhaini, Jan Esser, Flaka Siqeca, Maria Jose Mendieta, Evelyn Huber, Andreas Zeller, et al. “Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study.BMC Geriatr 22, no. 1 (November 15, 2022): 857. https://doi.org/10.1186/s12877-022-03552-z.
Yip O, Dhaini S, Esser J, Siqeca F, Mendieta MJ, Huber E, et al. Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study. BMC Geriatr. 2022 Nov 15;22(1):857.
Yip, Olivia, et al. “Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study.BMC Geriatr, vol. 22, no. 1, Nov. 2022, p. 857. Pubmed, doi:10.1186/s12877-022-03552-z.
Yip O, Dhaini S, Esser J, Siqeca F, Mendieta MJ, Huber E, Zeller A, De Geest S, Deschodt M, Zúñiga F, Zullig LL, King HA, INSPIRE consortium. Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study. BMC Geriatr. 2022 Nov 15;22(1):857.
Journal cover image

Published In

BMC Geriatr

DOI

EISSN

1471-2318

Publication Date

November 15, 2022

Volume

22

Issue

1

Start / End Page

857

Location

England

Related Subject Headings

  • Switzerland
  • Social Support
  • Humans
  • Geriatrics
  • Frailty
  • Frail Elderly
  • Cross-Sectional Studies
  • Caregivers
  • Aged
  • 4206 Public health