Ginman Helen, Sitch Matthew
University of Gloucestershire, Cheltenham, UK.
Psychol Health. 2024 May 1:1-19. doi: 10.1080/08870446.2024.2339327.
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.
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.
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.
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.
老年人就医的方式对于实现良好的健康结果至关重要。然而,由于治疗、管理和服务提供方面的复杂性,患有多种疾病的老年人就医过程通常是脱节的。本研究旨在探讨患有多种疾病的老年患者如何就医。
对英格兰五名年龄在65岁及以上、居住在养老院且患有多种疾病的老年人进行了半结构化访谈。采用了诠释现象学分析方法。
总体而言,参与者认为患有多种疾病时就医具有挑战性。群体体验主题包括“健康知识与理解”、“关系与期望”以及“单一视角下的就医过程”。这些主题共同构成了一些叙述,涉及对健康状况理解有限、与医疗专业人员沟通存在困难,以及在以单一疾病为重点的医疗系统中接受分段护理如何干扰就医过程。
这些发现突出了患有多种疾病的老年人就医的经历,并说明了可以通过几种方式来支持患有多种疾病的老年人更轻松地就医。该研究还强调了该领域未来研究的必要性。