Health and social care management for older adults with multimorbidity: a multiperspective approach

Multimorbidity, a condition common among older adults, may be regarded as a failure of a complex system. The aim of this study was to describe the core components in health and social care management for older adults with multimorbidity. A cross‐sectional design included two methods: individual inte...

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Bibliographic Details
Published in:Scandinavian journal of caring sciences 2017-03, Vol.31 (1), p.96-103
Main Authors: Meranius, Martina Summer, Josefsson, Karin
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Care Sciences
Chronic Disease - epidemiology
Chronic Disease - therapy
Comorbidity
Competence
Content analysis
Continuity of care
Cooperation
Cross-Sectional Studies
Delivery of Health Care - organization & administration
Family - psychology
Female
Health care
Health care access
Health care management
Health Personnel - psychology
Health services
Humans
Inpatients - psychology
Interprofessional cooperation
Leadership
Male
Management
Medical personnel
Middle Aged
multi-perspective
multimorbidity
multiperspective
Människan i vården
Nursing
Nursing Science
older adults
Older people
Omvårdnad
Patient care planning
Policy making
Qualitative research
Segmentation
social care
Social services
Social Support
vårdvetenskap
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Description
Summary:Multimorbidity, a condition common among older adults, may be regarded as a failure of a complex system. The aim of this study was to describe the core components in health and social care management for older adults with multimorbidity. A cross‐sectional design included two methods: individual interviews and group discussions. A total of 105 participants included older adults with multimorbidity and their relatives, care staff and healthcare policymakers. Data were analysed using content analysis. The results show that seven core components comprise a multiperspective view of health and social care management for older adults with multimorbidity: political steering, leadership, cooperation, competence, support for relatives, availability and continuity. Steps should be taken to ensure that every older adult with multimorbidity has a treatment plan according to a multiperspective view to prevent fragmentation of their health care. This study provides relevant evidence developing a multiperspective model of health and social care management for older adults with multimorbidity.
ISSN:0283-9318
1471-6712
1471-6712
DOI:10.1111/scs.12322