ArticleHealth expectations : an international journal of public participation in health care and health policy2020
A qualitative study of health-care experiences and challenges faced by ageing homebound adults.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Utilization Patterns Among Heterogeneous Subgroups of Homebound Older Adults: A Latent Class Analysis.Journal of the American Geriatrics Society · 2026Observational
- Impact of an Intergenerational Service Learning Program on Goal Attainment Among Homebound Older Adults:: A Multi-Site Community Study.Delaware journal of public health · 2026Article
- Interprofessional, Integrative Approaches to Chronic Pain Management in Home-Based Medical Care.Clinics in geriatric medicine · 2026Review
- A study of the profiles of perceived inadequate qualifications and associated factors among nursing interns: a latent profile analysis.Frontiers in psychology · 2026Article
- The Impact of an Intergenerational Service Learning Program on Psychological Distress for Homebound Older Adults.Journal of gerontological social work · 2025Article
- The quality of home-based primary care delivered by nurse practitioners: A national Medicare claims analysis.Journal of the American Geriatrics Society · 2024Observational
- Turning to digital: Examining the relationship between offline healthcare barriers and U.S. older adults' emotional well-being via online patient-provider communication and perceived quality of care (2017-2020).Preventive medicine reports · 2024Article
- Korean primary health care program for people with disabilities: do they really want home-based primary care?BMC health services research · 2023Article
- The relationship between individual-level socioeconomic status and preference for medical service in primary health institutions: a cross-sectional study in Jiangsu, China.Frontiers in public health · 2023Article
- Older adult's longitudinal experiences of household isolation and social distancing during the COVID-19 pandemic.International journal of older people nursing · 2022Article
- Tailoring interventions for social isolation among older persons during the COVID-19 pandemic: challenges and pathways to healthcare equity.International journal for equity in health · 2021Article
- A qualitative study of health-care experiences and challenges faced by ageing homebound adults.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- 23.4 Briefing.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- TheFrontiers in psychology · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe ageing of the global population is associated with an increasing prevalence of chronic diseases and functional impairments, resulting in a greater proportion of homebound individuals.
objectiveTo examine the health-care experiences of older homebound adults who have not previously received home-based primary care (HBPC). To explore their impressions of this method of care.
designCross-sectional qualitative study using semi-structured interviews. SETTING AND
participants18 older homebound individuals in Central Virginia.
resultsOur findings revealed that homebound individuals faced significant health challenges, including pain resulting from various comorbidities. They felt that their mobility was restricted by their physical conditions and transportation challenges. These were major barriers to social outings and health-care access. Participants left their homes infrequently and typically with assistance. Regarding office-based care, participants were concerned about long wait times and making timely appointments. Some thought that HBPC would be convenient and could result in better quality care; however, others believed that the structure of the health-care system and its focus on efficiency would not permit routine HBPC. DISCUSSION AND
conclusionsOlder homebound adults in this study faced high burdens of disease, a lack of mobility and difficulty accessing quality health care. Our observations may help researchers and clinicians better understand the health-care experiences and personal opinions of older homebound individuals, informing the development of effective and empathetic home-based care. Participant responses illuminated a need for education about HBPC. We must improve health-care delivery and develop comprehensive, patient-centered HBPC to meet the needs of homebound individuals.
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