Older Adults’ Views on the Repositioning of Primary and Community Care
Open accessAbstract
Older adults are rarely consulted on health care restructuring. To address this gap, our study explored older adults’ views on “repositioning”, a restructuring initiative to support independent living for older adults with complex chronic disease (CCD). We collected and analysed data from 83 older adults living in one small city and nine rural small towns where “repositioning” of primary and community care was occurring. Average participant age was 75 years; 56 (67%) were women, 44 (53%) had CCD, and 20 (24%) identified as Indigenous or South Asian. The four themes were: unfamiliarity with repositioning; optimism versus skepticism; improving primary and community care (through better home care, improved transportation, and more doctors); and, playing an active role to effect change. For repositioning to be successful, diverse service users must be fully included; rural-dwelling older adults’ priorities for primary and community care need to be addressed, rather than using a “cookie-cutter” approach.
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It is possible for community-dwelling service recipients to be partners in bettering health care services through structured processes and engaging with older adults as experts in their lived experiences.
“However, through structured processes and engaging with older adults as experts in their lived experiences it is possible for community-dwelling service recipients to be partners in bettering health care services [12].”
From The hospital-to-home care transition experience of home care clients: an exploratory study using patient journey mapping (2023) · cites this paper as [12]
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References 31 · Cited by 11
Research works printed but not linked: 4
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- Estes, C., Biggs, S., & Phillipson, C. (2003). Social theory, social policy and ageing: A critical introduction: Critical perspectives. Maidenhead, ENG: Open University Press.
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- Hulko, W., Brotman, S. & Ferrer, I. (2017). Counter- storytelling: Anti-oppression social work with older adults. In Baines, D. (Ed.), Doing anti-oppressive practice: Social justice social work (3rd ed.) (pp. 193-211). Halifax, NS: Fernwood Publishing.
- Authors
- Hulko, W., Mirza, N., & Seeley, L.
- Affiliations
- Thompson Rivers University (CA)
- Interior Health (CA)
- Corresponding author
- Hulko, Wendy
- Venue
- Canadian Journal on Aging / La Revue canadienne du vieillissement
- Publisher
- Cambridge University Press (CUP)
- Published
- 2020-01-22
- Volume
- 40
- Issue
- 1
- Pages
- 114-126
- ISSN
- 0714-9808 (ISSN-L)
- 1710-1107
- OpenAlex
- W3001385095
- Cited by
- 11
- References
- 31
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Canadian Journal on Aging / La Revue canadienne du vieillissement (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Health, Nursing, Elderly Care
- Keywords
- older adults, health care reform, complex chronic conditions, independent living, rural elderly, home care, Indigenous older adults, service user involvement
- MeSH terms
- Aged, Delivery of Health Care, Female, Home Care Services, Humans, Rural Population, Independent Living
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