Evidence map›Paper›PMID 41568327›Full record

ArticlePalliative care and social practice2026

At home until the end? A qualitative study of experiences of in-home aged care programs in the context of caring for older adults with a life-limiting illness.

Kristin Bindley, Serra Ivynian, Olivia Rawlings-Way, Deborah Parker

Abstract read
In one paragraph

Article in Palliative care and social practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kristin BindleyUniversity of Technology Sydney, UTS Ageing Research Collaborative, NSW, Australia.ORCID https://orcid.org/0000-0003-1408-2484
Serra IvynianUniversity of Technology Sydney, UTS Ageing Research Collaborative, NSW, Australia.ORCID https://orcid.org/0000-0001-6984-8702
Olivia Rawlings-WayUniversity of Technology Sydney, UTS Ageing Research Collaborative, NSW, Australia.ORCID https://orcid.org/0000-0003-3649-528X
Deborah ParkerUniversity of Technology Sydney, UTS Ageing Research Collaborative, NSW, Australia.ORCID https://orcid.org/0000-0003-2552-8613

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A growing proportion of older adults are living longer and dying with life-limiting illnesses. While the majority express a preference for end-of-life care at home, there is often a disparity between this preference and settings in which care and death continue to occur. Alongside other determinants, the nature of available care at home at the end of life shapes the realisation of preferences. Yet there is limited understanding of the experience and effectiveness of programs of in-home aged care in supporting end-of-life care at home. Objectives: The study aimed to explore the experiences of informal carers of older adults with a life-limiting illness in the last year of life who received forms of in-home aged care. Design and methods: A qualitative design utilised semi-structured interviews to elicit experiences of current or former (bereaved) carers of an older adult ( Results: Findings highlight features of in-home care that shape and constrain effective and equitable end-of-life care provision over the arc of experience, from the point of accessing this care. Themes pertained to the centrality of navigational support, the need for responsivity and flexibility to meet needs and preferences, the function of specific knowledge and skills and the importance of a relational orientation in facilitating continuity. Carer positionality, associated with individual capacity and resources, influenced the potential to mitigate gaps in care. Conclusion: Approaches that support system navigation and the tailoring of features of in-home aged care to meet complex end-of-life needs are indicated, alongside further attention to education and support of the in-home aged care workforce. Implications are timely and possess relevance across sectors of aged and health care seeking to enable end-of-life care for older adults at home.

Indexed as

end of lifeend-of-life carehome care agencieshome care servicesolder adultspalliative care

Identifiers

PMID41568327
PMCPMC12816513

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.