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Perspectives of Older Adults of Low Socioeconomic Status on the Post-hospital Transition
Older adults of low socioeconomic status are at high risk for poor post-hospital outcomes. Design. A qualitative researcher, who was also an outreach worker from the West Philadelphia community, conducted in-depth interviews with 25 participants within 30 days of their hospital discharge. Eligible p...
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| Published in: | Journal of health care for the poor and underserved 2014-05, Vol.25 (2), p.746-756 |
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| Main Authors: | , , , , , |
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| Language: | English |
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| container_end_page | 756 |
| container_issue | 2 |
| container_start_page | 746 |
| container_title | Journal of health care for the poor and underserved |
| container_volume | 25 |
| creator | Kangovi, Shreya Levy, Kathryn Barg, Frances K Carter, Tamala Long, Judith A Grande, David |
| description | Older adults of low socioeconomic status are at high risk for poor post-hospital outcomes. Design. A qualitative researcher, who was also an outreach worker from the West Philadelphia community, conducted in-depth interviews with 25 participants within 30 days of their hospital discharge.
Eligible participants were: 1) residents of high-poverty ZIP codes; 2) dually eligible for Medicare and Medicaid; 3) had capacity or a caregiver who could be interviewed as a proxy; 4) general medicine or cardiology patients.
Participants were unable to access the care and accommodations needed to cope with post-hospital frailty. As a result, medical disability was amplified by socioeconomic disability. Participants were ashamed of the resulting loss of control and had difficulty asking for help, particularly from potential supports who were perceived as emotionally controlling or judgmental.
Strategies that address socioeconomic stressors of hospitalization and provide empathic support may improve the post-hospital transition for these high-risk individuals. |
| doi_str_mv | 10.1353/hpu.2014.0111 |
| format | article |
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Eligible participants were: 1) residents of high-poverty ZIP codes; 2) dually eligible for Medicare and Medicaid; 3) had capacity or a caregiver who could be interviewed as a proxy; 4) general medicine or cardiology patients.
Participants were unable to access the care and accommodations needed to cope with post-hospital frailty. As a result, medical disability was amplified by socioeconomic disability. Participants were ashamed of the resulting loss of control and had difficulty asking for help, particularly from potential supports who were perceived as emotionally controlling or judgmental.
Strategies that address socioeconomic stressors of hospitalization and provide empathic support may improve the post-hospital transition for these high-risk individuals.</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2014.0111</identifier><identifier>PMID: 24858883</identifier><identifier>CODEN: JHCUEK</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>Aged ; Disability ; Elderly people ; Female ; Health Services Accessibility ; Help-Seeking Behavior ; High risk ; Hospitalization ; Hospitalization - economics ; Hospitals ; Humans ; Interviews as Topic ; Loss of control ; Low income people ; Male ; Older people ; Patient Discharge - economics ; Philadelphia ; Poverty ; Poverty - psychology ; Poverty - statistics & numerical data ; Qualitative research ; Self Concept ; Socioeconomics ; Studies</subject><ispartof>Journal of health care for the poor and underserved, 2014-05, Vol.25 (2), p.746-756</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press May 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-8b31137a635db114d99d4b1d3afc2a4244ea610a072c1b2a8bc627883975801d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1534012174?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,31000,33611,33612,34530,34531,43733,44115</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24858883$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kangovi, Shreya</creatorcontrib><creatorcontrib>Levy, Kathryn</creatorcontrib><creatorcontrib>Barg, Frances K</creatorcontrib><creatorcontrib>Carter, Tamala</creatorcontrib><creatorcontrib>Long, Judith A</creatorcontrib><creatorcontrib>Grande, David</creatorcontrib><title>Perspectives of Older Adults of Low Socioeconomic Status on the Post-hospital Transition</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>Older adults of low socioeconomic status are at high risk for poor post-hospital outcomes. Design. A qualitative researcher, who was also an outreach worker from the West Philadelphia community, conducted in-depth interviews with 25 participants within 30 days of their hospital discharge.
Eligible participants were: 1) residents of high-poverty ZIP codes; 2) dually eligible for Medicare and Medicaid; 3) had capacity or a caregiver who could be interviewed as a proxy; 4) general medicine or cardiology patients.
Participants were unable to access the care and accommodations needed to cope with post-hospital frailty. As a result, medical disability was amplified by socioeconomic disability. Participants were ashamed of the resulting loss of control and had difficulty asking for help, particularly from potential supports who were perceived as emotionally controlling or judgmental.
Strategies that address socioeconomic stressors of hospitalization and provide empathic support may improve the post-hospital transition for these high-risk individuals.</description><subject>Aged</subject><subject>Disability</subject><subject>Elderly people</subject><subject>Female</subject><subject>Health Services Accessibility</subject><subject>Help-Seeking Behavior</subject><subject>High risk</subject><subject>Hospitalization</subject><subject>Hospitalization - economics</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Loss of control</subject><subject>Low income people</subject><subject>Male</subject><subject>Older people</subject><subject>Patient Discharge - economics</subject><subject>Philadelphia</subject><subject>Poverty</subject><subject>Poverty - psychology</subject><subject>Poverty - statistics & numerical data</subject><subject>Qualitative research</subject><subject>Self Concept</subject><subject>Socioeconomics</subject><subject>Studies</subject><issn>1049-2089</issn><issn>1548-6869</issn><issn>1548-6869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2S</sourceid><recordid>eNqNkUtr3DAURkVpaF5ddlsM3WTjia50ZUvLEJKmMJDAJJCdkGUN48G2XElO6L-v3DwKXXUlCR3u4zuEfAG6Ai74-W6aV4wCrigAfCBHIFCWlazUx3ynqEpGpTokxzHuKaWcI_9EDhlKIaXkR-TxzoU4OZu6JxcLvy1u-9aF4qKd-_TnvfbPxcbbzjvrRz90ttgkk-b8NxZp54o7H1O583HqkumL-2DG2KXOj6fkYGv66D6_nifk4frq_vKmXN9-_3F5sS4tVyqVsuEAvDYVF20DgK1SLTbQcrO1zCBDdKYCamjNLDTMyMZWrM6jq1pImrkTcvZSdwr-5-xi0kMXret7Mzo_Rw1CUCVFJcV_oCyHgjnBjH77B937OYx5kUxxpMCgXqjyhbLBxxjcVk-hG0z4pYHqxY7OdvRiRy92Mv_1tercDK59p990ZADf2-6zlGGO7m9ngYIp1JtF8WIYkFHKsOK_Ad0qmTM</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Kangovi, Shreya</creator><creator>Levy, Kathryn</creator><creator>Barg, Frances K</creator><creator>Carter, Tamala</creator><creator>Long, Judith A</creator><creator>Grande, David</creator><general>Johns Hopkins University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BSCPQ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>UXAQP</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Perspectives of Older Adults of Low Socioeconomic Status on the Post-hospital Transition</title><author>Kangovi, Shreya ; Levy, Kathryn ; Barg, Frances K ; Carter, Tamala ; Long, Judith A ; Grande, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-8b31137a635db114d99d4b1d3afc2a4244ea610a072c1b2a8bc627883975801d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Disability</topic><topic>Elderly people</topic><topic>Female</topic><topic>Health Services Accessibility</topic><topic>Help-Seeking Behavior</topic><topic>High risk</topic><topic>Hospitalization</topic><topic>Hospitalization - economics</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Loss of control</topic><topic>Low income people</topic><topic>Male</topic><topic>Older people</topic><topic>Patient Discharge - economics</topic><topic>Philadelphia</topic><topic>Poverty</topic><topic>Poverty - psychology</topic><topic>Poverty - statistics & numerical data</topic><topic>Qualitative research</topic><topic>Self Concept</topic><topic>Socioeconomics</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kangovi, Shreya</creatorcontrib><creatorcontrib>Levy, Kathryn</creatorcontrib><creatorcontrib>Barg, Frances K</creatorcontrib><creatorcontrib>Carter, Tamala</creatorcontrib><creatorcontrib>Long, Judith A</creatorcontrib><creatorcontrib>Grande, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Black Studies Center</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest_Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>ProQuest Black Studies</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of health care for the poor and underserved</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kangovi, Shreya</au><au>Levy, Kathryn</au><au>Barg, Frances K</au><au>Carter, Tamala</au><au>Long, Judith A</au><au>Grande, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perspectives of Older Adults of Low Socioeconomic Status on the Post-hospital Transition</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>25</volume><issue>2</issue><spage>746</spage><epage>756</epage><pages>746-756</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><coden>JHCUEK</coden><abstract>Older adults of low socioeconomic status are at high risk for poor post-hospital outcomes. Design. A qualitative researcher, who was also an outreach worker from the West Philadelphia community, conducted in-depth interviews with 25 participants within 30 days of their hospital discharge.
Eligible participants were: 1) residents of high-poverty ZIP codes; 2) dually eligible for Medicare and Medicaid; 3) had capacity or a caregiver who could be interviewed as a proxy; 4) general medicine or cardiology patients.
Participants were unable to access the care and accommodations needed to cope with post-hospital frailty. As a result, medical disability was amplified by socioeconomic disability. Participants were ashamed of the resulting loss of control and had difficulty asking for help, particularly from potential supports who were perceived as emotionally controlling or judgmental.
Strategies that address socioeconomic stressors of hospitalization and provide empathic support may improve the post-hospital transition for these high-risk individuals.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>24858883</pmid><doi>10.1353/hpu.2014.0111</doi><tpages>11</tpages></addata></record> |
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| identifier | ISSN: 1049-2089 |
| ispartof | Journal of health care for the poor and underserved, 2014-05, Vol.25 (2), p.746-756 |
| issn | 1049-2089 1548-6869 1548-6869 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Project Muse:Jisc Collections:Project MUSE Journals Agreement 2024:Premium Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection |
| subjects | Aged Disability Elderly people Female Health Services Accessibility Help-Seeking Behavior High risk Hospitalization Hospitalization - economics Hospitals Humans Interviews as Topic Loss of control Low income people Male Older people Patient Discharge - economics Philadelphia Poverty Poverty - psychology Poverty - statistics & numerical data Qualitative research Self Concept Socioeconomics Studies |
| title | Perspectives of Older Adults of Low Socioeconomic Status on the Post-hospital Transition |
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