“Why do i have to get naked to have a sandwich made?”: The social problem of aging and cultural shift needed to facilitate aging in place
Notice bibliographique
Résumé
BACKGROUND: Over the next 2 decades, the population of older adults (65 years of age and up) in Canada is anticipated to rise significantly, with the most rapidly increasing subset being racialized minorities. Many older adults prefer to age at home and in the community despite lacking services to support this goal. Considering older adults' growth rate and preferences, the research team sought to investigate what resources were needed to facilitate aging in place. METHODS: This study took place in Peel Region (Ontario, Canada), a particularly diverse region in Canada. 15 focus groups and 7 1-on-1 interviews were conducted with 42 participants (14 older adults, 10 caregivers, 18 healthcare providers). Each session included 2 parts: (1) co-designing a persona, and (2) co-designing a care package for the persona based on what they would need to age at home. A collaborative approach was taken to Braun and Clarke's inductive thematic analysis. FINDINGS: Overall, participants pointed to the social problem and medicalization of aging and discussed a broader cultural shift necessary to facilitate aging in place. This cultural shift was multifaceted and involved reducing fear-based health education rooted in liability concerns, caregivers and families accepting risks, a better balance between governmental responsibility and community sustainability, and looking to other optimal models of care (e.g., palliative care model, family planning model for advanced care planning). Important to shifting the culture of care was also the need to better balance standardized and personalized care. Older adults and caregivers needed opportunity to voice their needs. When older adults did not receive flexible accommodations for their specific circumstances, there were often spillover costs. Finally, important to centering older adults and caregivers in person-centred care provision was a needed shift in the consistency and reliability of care services that supported older adults to age in place. CONCLUSIONS: Participants described receiving care that was often not person- and family-centered despite this being a purported healthcare system value in Ontario, Canada. A cultural shift is thus needed in medical and social expectations of what it means to care for older adults.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».