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Decision Making: Traditional Method01:14

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Published on: February 16, 2011

Using narratives to understand older people's decision-making processes.

Josephine Tetley1, Gordon Grant, Susan Davies

  • 1Open University, Milton Keynes, United Kingdom.

Qualitative Health Research
|July 31, 2009
PubMed
Summary

Older adults often don't use available home care services, leading to preventable hospitalizations. Understanding decision-making factors is key to improving access to supportive and preventative care for seniors.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Sociology of Health

Background:

  • Older adults frequently underuse or refuse available home-based health and social care services.
  • This underutilization contributes to avoidable hospital admissions and long-term care placements for the elderly population.

Purpose of the Study:

  • To explore factors influencing the uptake of supportive and preventative services among older adults.
  • To identify barriers and facilitators to service utilization in home care settings.

Main Methods:

  • A constructivist inquiry was employed to investigate service use.
  • Narrative methodologies were utilized to uncover decision-making influences and enhance hermeneutic processes.

Main Results:

  • Qualitative data revealed key factors influencing older adults' decisions regarding service acceptance or refusal.
  • Narratives provided insights into the complex interplay of personal, social, and service-related elements affecting uptake.

Conclusions:

  • Understanding the nuanced decision-making processes of older adults is crucial for improving the uptake of home care services.
  • Tailoring service delivery and communication strategies based on identified factors can reduce avoidable healthcare escalations.