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Why do the elderly seek or avoid care? A qualitative analysis

M Koval1, S Dobie

  • 1Department of Family Medicine, St Mary's Hospital, University of Wisconsin, Madison, USA.

Family Medicine
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

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Elderly individuals

Area of Science:

  • Gerontology
  • Health Services Research
  • Sociology of Health

Background:

  • Traditional research on healthcare barriers for the elderly relies on researcher-defined obstacles.
  • This study explores barriers from the elderly's perspective, identifying unarticulated factors.

Purpose of the Study:

  • To understand the factors influencing healthcare-seeking behaviors in the elderly population.
  • To identify and characterize perceptions of barriers to care among older adults.

Main Methods:

  • Grounded theory approach utilized for qualitative data collection.
  • Open-ended interviews conducted with 15 non-housebound elderly participants.
  • Data analysis focused on discovering and characterizing perceived barriers.

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Main Results:

  • A central theme emerged concerning the interplay of autonomy, self-esteem, and health status.
  • Two hypotheses were generated regarding the influence of self-esteem and perceived health on care-seeking.

Conclusions:

  • Self-esteem and autonomy significantly influence the elderly's willingness to seek care, particularly with increased illness.
  • Perceptions of health status, patient-physician roles, and system factors shape healthcare-seeking decisions in older adults.