Life-Stage and Contextual Factors of Advance Care Planning Among Older Adults With Limited Income.
J Appl Gerontol
; 43(8): 1144-1155, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-38350612
ABSTRACT
Patient perspectives are essential to understand healthcare disparities such as low rates of advance care planning (ACP) among adults with limited income. We completed twenty semi-structured interviews using purposive and snowball sampling. Initial and final themes emerged from inductive inclusion of recurring codes and deductive application of the cumulative disadvantage theory. Four themes emerged (1) structural, (2) life-stage, (3) social stressors and resources, and (4) individual stress responses and ACP readiness. ACP resources among participants included positive structural and social support and previous familial death experiences that were mitigated by stress avoidance and competing priorities. Structural resources and healthcare stressors should be addressed with policy and research to improve continuous healthcare participation and support early, comprehensive ACP.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Apoio Social
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Entrevistas como Assunto
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Planejamento Antecipado de Cuidados
Tipo de estudo:
Qualitative_research
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article