Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study

Blijswijk, Sophie C. E. van; Waard, Claudia S de; Peet, Petra G. van; Keizer, Dagmar; Faber, Margaret von; Waal, Margot W. M. de; Elzen, Wendy P. J. den; Gussekloo, Jacobijn; Blom, Jeanet W.

doi:10.1371/journal.pone.0200614

Cited by 6 publications

(37 citation statements)

References 20 publications

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“…Older patients thought effective communication should occur between health professionals situated in hospitals and those in community settings, however these expectations were often not met. Similarly, older patients expected their PCPs to be well informed about their updated medications, and they also expected them to communicate regularly with their medical specialists; this communication did not always occur 88 .…”

Section: Discussionmentioning

confidence: 99%

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

Ozavci

Bucknall

Woodward‐Kron

et al. 2021

Research in Social and Administrative Pharmacy

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Background Communication about managing medications may be difficult when older people move across transitions of care. Communication breakdowns may result in medication discrepancies or incidents. Objective The aim of this systematic review was to explore older patients' experiences and perceptions of communication about managing medications across transitions of care. Design A systematic review Methods A comprehensive review was conducted of qualitative, quantitative and mixed method studies using CINAHL Complete, MEDLINE, Embase and PsycINFO, Web of Science, INFORMIT and Scopus. These databases were searched from inception to 14.12.2018. Key article crosschecking and hand searching of reference lists of included papers were also undertaken. Inclusion criteria: studies of the medication management perspectives of people aged 65 or older who transferred between care settings. These settings comprised patients' homes, residential aged care and acute and subacute care. Only English language studies were included. Comments, case reports, systematic reviews, letters, editorials were excluded. Thematic analysis was undertaken by synthesising qualitative data, whereas quantitative data were summarised descriptively. Methodological quality was assessed with the Mixed Methods Appraisal Tool. Results The final review comprised 33 studies: 12 qualitative, 17 quantitative and 4 mixed methods studies. Twenty studies addressed the link between communication and medication discrepancies; ten studies identified facilitators of self-care through older patient engagement; 18 studies included older patients' experiences with health professionals about their medication regimen; and, 13 studies included strategies for communication about medications with older patients. Poor communication between primary and secondary care settings was reported as a 2 reason for medication discrepancy before discharge. Older patients expected ongoing and tailored communication with providers and timely, accurate and written information about their medications before discharge or available for the post-discharge period. Conclusions Communication about medications was often found to be ineffective. Most emphasis was placed on older patients' perspectives at discharge and in the post-discharge period. There was little exploration of older patients' views of communication about medication management on admission, during hospitalisation, or transfer between settings.

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Section: Discussionmentioning

confidence: 99%

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

Ozavci

Bucknall

Woodward‐Kron

et al. 2021

Research in Social and Administrative Pharmacy

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“…For this topic, researchers (MvF, SP) worked together with the Regional Advisory Board of Older Persons [Ouderenberaad Zuid Holland-Noord] in the city of Leiden. The Regional Advisory Board of Older Persons is a client panel of 15 older persons (aged 60-90 years) who reflect on research proposals/results, housing, and healthcare policy in the Leiden area [26]. In 2017, a participative research on "Vitality and living independently" in the region was conducted.…”

Section: Leiden: Setting Participants and Methodsmentioning

confidence: 99%

Engaging Older People in Age-Friendly Cities through Participatory Video Design

Faber

Tavy

Pas

2020

IJERPH

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Participatory video design is a novel approach to collect experiences and perceptions of older people about the age-friendliness of their city or neighborhood. In this article, we describe how this co-creative method can add to specific knowledge about the preferences and needs of older people about the improvement or preservation of their environment. We describe two examples of this approach in the cities of The Hague and Leiden, the Netherlands. Persons of 60 years and older were invited to participate in a “workshop” on filmmaking focusing on age-friendly cities. A professional filmmaker and a researcher of the University of Applied Sciences worked in co-creation with older people, to produce short films on the topics that were perceived as important from the perspective of the participants. The older people worked in couples to produce their short films about the city or their neighborhood. Topics of the films included communication and information, outdoor spaces, social relations, and community support. The use of participatory video design can foster empowerment and social interaction among older participants, and insight into the preferences and needs of older people regarding age-friendly cities.

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“…Those participants who had already taken action often suggested that they would most likely need additional guidance from a general practice professional as they grew older. This expectation is supported by research showing that patient involvement changes with health status [4,18,20]. Professionals at general practices should be aware of these differences; some older patients are fully capable of organizing healthcare themselves, while others may rely on the initiative of their GP or practice nurse.…”

Section: Comparison With Literaturementioning

confidence: 98%

“…In most general practices in the Netherlands a practice nurse works with patients with chronic conditions and/or with older persons. An earlier study showed that older persons value the practice nurse [20], and a good relationship with their healthcare professional has been shown to encourage the open discussion of health problems [21,22]. This opens up possibilities for reflection and discussion on health and wellbeing with older persons, with an important role for the practice nurse.…”

Section: Comparison With Literaturementioning

confidence: 98%

“…Others, however, might benefit from discussing their results and subsequent ideas on how to improve their health. GPs or practice nurses could support and motivate patients to think about their own personal goals [27,28], but should also discuss whether and to what extent an older person wishes to be involved in his or her own health management [17,20].…”

Section: Practice Implicationsmentioning

confidence: 99%

See 1 more Smart Citation

Older individuals’ views on their personal screening results for complex health problems: a qualitative study

Blijswijk¹,

Tol²,

Blom³

et al. 2020

BMC Fam Pract

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Background Providing older persons with information about their health status may increase their involvement in their own health and enhance self-management. However, we need a better understanding of how older persons view their personal results after completing a screening questionnaire on complex health, of their (lack of) motivation and their subsequent action. Methods In this qualitative study community-dwelling older persons (≥80 years, n = 13) who completed a screening questionnaire on complex health problems were interviewed regarding their perception of the results, the actions they considered taking and their personal motivations. Data were analysed thematically (qualitative content analyses). Results Participants expressed interest in feedback, as an objective questionnaire might substantiate their own views regarding their personal health. They were mostly unsurprised by the results and/or had already taken precautions and were therefore not inclined to undertake additional action. They admitted difficulty with and appreciated advice from a professional regarding preparation of an action plan. Unexpected negative results would lead them to discuss matters with family and/or their general practitioner, provided they had a good relationship with their GP. Conclusion Older people were interested in direct feedback regarding their screening questionnaire results and in subsequent advice on possible additional measures. General practices could consider inviting older persons to complete a screening questionnaire and discuss activities and personal goals. This information could serve to better shape future interventions aimed at increasing self-management amongst older persons.

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Wishes and needs of community-dwelling older persons concerning general practice: A qualitative study

Cited by 6 publications

References 20 publications

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

A systematic review of older patients’ experiences and perceptions of communication about managing medication across transitions of care

Engaging Older People in Age-Friendly Cities through Participatory Video Design

Older individuals’ views on their personal screening results for complex health problems: a qualitative study

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