Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

Shamsikhani, Soheila; Ahmadi, Fazlollah; Kazemnejad, Anoshirvan; Vaismoradi, Mojtaba

doi:10.3390/ijerph18126361

Cited by 11 publications

(12 citation statements)

References 75 publications

(93 reference statements)

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“…This study is consistent with other studies showing that borrowing from family or friends and taking out loans are the most common forms of distress financing [ 19 , 39 , 45 ]. In Viet Nam, older people are well connected with their family, friends and communities [ 32 ]; thus, social networks seem to be important sources of financial support [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Household financial burden associated with healthcare for older people in Viet Nam: a cross-sectional survey

Giang

Vinh

Phương

et al. 2022

Health Res Policy Sys

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Background Population ageing and the associated increase in the healthcare needs of older people are putting pressure on the healthcare system in Viet Nam. The country prioritizes healthcare for older people and has developed financial protection policies to mitigate financial hardship due to out-of-pocket health expenditures (OOPHEs) borne by their households. This study examines the level and determinants of the financial burden of OOPHE among households with people aged ≥ 60 years in Viet Nam. Methods A cross-sectional household survey was conducted among a sample of 1536 older people living in 1477 households in three provinces representing the North, Central and South regions of Viet Nam during 2019–2020. The financial outcomes were catastrophic health expenditure (CHE), using WHO's definition, and financial distress due to OOPHE. Multivariate binary logistic regression analysis was employed to determine the factors associated with these outcomes. Results OOPHE for older household members accounted for 86.3% of total household health expenditure. Of households with older people, 8.6% (127) faced CHE, and 12.2% (181) experienced financial distress due to OOPHE. Households were at a higher risk of incurring financial burdens related to health expenditures if they had fewer household members; included only older people; were in rural or remote, mountainous areas; and had older members with noncommunicable diseases. There was no significant association between health insurance coverage and financial burden. However, when older people sought tertiary care or private care, the possibility of a household facing CHE increased. Regardless of the type and level of care, health service utilization by older people results in a higher likelihood of a household encountering financial distress. Conclusions This study reveals that OOPHE for older people can impose substantial financial burdens on households, leading them to face CHE and financial distress. This study provides evidence to justify reforming financial protection policies and introducing policy interventions targeted at better protecting older people and their households from the financial consequences of OOPHE. There is also the need to strengthen the grassroots health facilities to provide primary care closer to home at lower costs, particularly for the management of noncommunicable diseases.

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Section: Discussionmentioning

confidence: 99%

Household financial burden associated with healthcare for older people in Viet Nam: a cross-sectional survey

Giang

Vinh

Phương

et al. 2022

Health Res Policy Sys

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“…In Iran, as a developing country, studies on the provision of the informal supportive home care for older adults are in their infancy. Current evidence on home care services for older adults are limited to some qualitative studies on exploring the barriers of home care programs [ 23 ], the role of family support in home care [ 36 ], and the necessity of providing health home care services [ 22 ]. So, there is a need to investigate the feasibility of interventions that focus on informal home care programs provision involving volunteer peer supports as a cost-effective and mutual beneficial program for those involved.…”

Section: Introductionmentioning

confidence: 99%

Design, implementation and evaluation of informal home care support intervention program for lonely older adults in the community: Protocol for a feasibility study

et al. 2022

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Background Providing lonely older adults with informal home care services is important to improving their health and quality of life. The study aims to evaluate the feasibility of design, implementation and evaluation of an informal home care support intervention program (HoSIP) for community-dwelling lonely older adults in Gorgan, Iran. Method/design This feasibility study is a mixed-method with a concurrent nested design. Lonely older adults will be enrolled as the HoSIP intervention group and will receive 12-weeks of informal home care service by peer supporters. The purpose of this feasibility study is to determine the recruitment capability and resulting sample characteristics, data collection procedure and outcome measures, the acceptability and suitability of the intervention and study procedures, the resource and ability to manage the study and intervention, and preliminary evaluation of participant response to intervention. Primary outcomes including participant feelings of loneliness, quality of life, general health, social network, social support, and self-care ability, will be assessed at baseline and post-intervention for the intervention and control groups. Semi-structured interviews will be conducted immediately after the intervention using content qualitative approach to describe participants’ experiences with HoSIP. Discussion Through this study we will examine the feasibility of delivering informal home care services to community-dwelling lonely older adults in a developing country through employing a concurrent nested mixed-method design. Trial registration IRCT20190503043455N

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“…These problems can reduce older people’s ability to independently perform their daily life activities, leading to their dependence on others, particularly their family members [ 2 ]. Healthcare providers involved in home care for older people should assess the degree of their clients’ dependency on family members, given the impact of such dependency on the well-being and quality of life of both older people and their families [ 3 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Home care helps with the preservation of older people’s dignity and reduces healthcare costs [ 27 ]. Therefore, Iranian families often play the role of caregivers for older parents at home in order to fulfil their sacred duties to them in their time of disability [ 5 , 13 ]. Children grow up and leave their older parents to develop their own independent lives, but they preserve family connections with them.…”

Section: Introductionmentioning

confidence: 99%

Meaning of Respect for Older People in Family Relationships

et al. 2022

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Background: Older people have various physical and mental health needs and often receive help from their family members to perform their daily life activities. This research aimed to explore the meaning of respect for older people in family relationships. Methods: A qualitative study using a content analysis approach was conducted. Semi-structured interviews were performed with sixteen older people and four family members. Results: Three main categories were developed: “respect for personal interests”, “kind and sincere respect” and “respect for autonomy”. Understanding of the meaning of respect for older people was influenced by special expectations from family members in terms of meeting personal needs, consideration of preferences and interests and empowerment and support to help preserve older people’s independence and autonomy. Conclusions: Family members should be informed and educated with regard to their expected roles in family relationships, and should consider respect as an important factor affecting older people’s well-being.

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Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study

Cited by 11 publications

References 75 publications

Household financial burden associated with healthcare for older people in Viet Nam: a cross-sectional survey

Household financial burden associated with healthcare for older people in Viet Nam: a cross-sectional survey

Design, implementation and evaluation of informal home care support intervention program for lonely older adults in the community: Protocol for a feasibility study

Meaning of Respect for Older People in Family Relationships

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