How do the existing homecare services correspond with the preferred service ecosystem for senior citizens living at home? A qualitative interview study with multiple stakeholders
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View abstract on PubMed
Summary
This summary is machine-generated.Homecare services need transformation for seniors. This study found gaps between current services and stakeholder preferences, highlighting the need for better integration and person-centered care for improved senior living.
Area Of Science
- Gerontology
- Healthcare Management
- Service Design
Background
- Homecare services are often task-focused and fragmented, not person-based or integrated.
- Stakeholders desire a transformation of the homecare service ecosystem for seniors living at home.
- Idealized design approaches can facilitate transformation, but few studies have applied them.
Purpose Of The Study
- To understand the correspondence between existing homecare services and the preferred service ecosystem for seniors living at home.
- To identify stakeholder perspectives on the current state and desired future of homecare services.
- To assess how different stakeholder groups perceive the alignment of current services with ideal homecare.
Main Methods
- A qualitative interview study was conducted with 57 participants from four stakeholder groups: senior citizens, carers, healthcare professionals, and managers.
- The study took place in a Norwegian municipality between 2019 and 2020.
- A directed qualitative content analysis was employed, guided by a four-category framework for the preferred service ecosystem.
Main Results
- All stakeholder groups identified limitations hindering service continuity and deficiencies in professional competence, though professionals focused less on this.
- Managers emphasized reablement competence, which was found to be lacking.
- Senior citizens and carers noted a lack of compassion from some professionals, with seniors' dependency potentially limiting honest feedback; involvement in service improvement was minimal.
Conclusions
- Significant discrepancies exist between current homecare services and the preferred ecosystem across different stakeholder groups.
- Key elements for developing a preferred service ecosystem include predictability, adaptivity, strong relationships, and continuous stakeholder involvement.
- The applied four-category framework effectively assessed the existing homecare services against the desired future state.
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