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Navigating Community-Based Aged Care Services From the Consumer Perspective: A Scoping Review.
Yuchen Xie1,2, Myra Hamilton3, Carmelle Peisah4,5
1School of Psychology, University of New South Wales, Sydney, New South Wales, Australia.
The Gerontologist
|April 29, 2023
Summary
Older adults face challenges navigating aged care services, with knowledge gaps and system complexity hindering access. Support from social networks and informal carers is crucial for successful navigation.
Area of Science:
- Gerontology
- Health Services Research
- Social Work
Background:
- The consumer-directed aged care model requires older adults to actively navigate complex systems for health and social services.
- Navigation challenges lead to unmet needs and difficulties accessing essential resources.
- This review examines the concept of aged care navigation and older adults' experiences with community-based services.
Purpose of the Study:
- To investigate the conceptualization of aged care navigation in existing literature.
- To explore the experiences of older adults and their informal carers in navigating community-based aged care services.
Main Methods:
- A scoping review adhering to Joanna Briggs Institute guidelines.
- Searches of PubMed, Scopus, and ProQuest (2008-2021), supplemented by grey literature and reference lists.
- Inductive thematic analysis of data from 26 included studies.
Main Results:
- Aged care navigation is often viewed through the lens of support provided, rather than the older adult's actions.
- Common themes include lack of knowledge, reliance on social networks, and complex care systems.
- Older adults face technology and waiting time challenges, while informal carers experience structural burden.
Conclusions:
- Successful navigation depends on individual circumstances, social networks, and informal carer support.
- Simplifying the aged care system and improving coordination can reduce consumer burden.
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