Older adult's experiences of navigating healthcare whilst living with multimorbidity.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2024-05-01 DOI:10.1080/08870446.2024.2339327

Helen Ginman, Matthew Sitch

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引用次数: 0

Abstract

Objective: The way older adults navigate their healthcare is critical to supporting positive health outcomes. However, navigating healthcare with multimorbidity is typically disjointed due to complexities in treatment, management, and service provision. This study sought to examine how older patients navigate healthcare whilst living with multimorbidity.

Methods and measures: Semi-structured interviews were undertaken with five older adults, aged 65 or older, living with multimorbidity in residential care in England. An Interpretive Phenomenological Analysis was undertaken.

Results: Overall, participants experienced navigating healthcare whilst living with multimorbidity as challenging. Group Experiential Themes included 'Health knowledge and understanding', 'Relationships and expectations' and 'Navigating health care with a single lens'. Collectively these themes represented narratives involving how having limited understanding of health conditions, experiencing challenges in communication with health professionals, and receiving segmented care in a health care system driven by a single condition focus interfered with navigation.

Conclusion: These findings highlight experiences of older adults living with multimorbidity navigating healthcare and illustrate several ways older adults living with multimorbidity may be supported to navigate services with less challenges. The research also promotes the need for future research in this area.

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老年人在身患多种疾病的情况下享受医疗服务的经验。

目的：老年人如何获得医疗保健服务对于支持积极的健康结果至关重要。然而，由于治疗、管理和服务提供等方面的复杂性，老年人在多病并存的情况下如何获得医疗保健服务通常是不连贯的。本研究旨在探讨老年患者如何在多病共存的情况下驾驭医疗保健：本研究对英格兰五位 65 岁或以上的老年人进行了半结构式访谈，这些老年人都是住在养老院的多病症患者。结果：总体而言，参与者在多病同治的过程中体验到了导航的乐趣：结果：总体而言，参与者认为在多病共存的情况下享受医疗保健服务具有挑战性。小组体验主题包括 "健康知识和理解"、"关系和期望 "以及 "以单一视角驾驭医疗保健"。这些主题共同反映了对健康状况的了解有限、与医疗专业人员沟通时遇到困难以及在以单一疾病为中心的医疗保健系统中接受分段式护理如何干扰导航的叙述：这些研究结果突显了患有多种疾病的老年人在医疗保健导航方面的经验，并说明了支持患有多种疾病的老年人以较少挑战获得导航服务的几种方法。这项研究还促进了今后在这一领域开展研究的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.