Perspectives on ageing: a qualitative study of the expectations, priorities, needs and values of older people from two Canadian provinces.

Autor: Savage RD; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada., Hardacre K; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada., Bashi AM; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Bronskill SE; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Faulkner C; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Institute of Medical Sciences, University of Toronto, Toronto, Ontario, Canada., Grieve J; RTOERO, Toronto, Ontario, Canada., Gruneir A; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada., McCarthy LM; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.; Institute for Better Health, Trillium Health Partners, Mississauga, Ontario., Chamberlain SA; Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada., Lam K; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Division of Geriatric Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA., Stall NM; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada., Zhu L; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada., Rochon PA; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.; ICES, Toronto, Ontario, Canada.; Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Jazyk: angličtina
Zdroj: Age and ageing [Age Ageing] 2021 Sep 11; Vol. 50 (5), pp. 1811-1819.
DOI: 10.1093/ageing/afab136
Abstrakt: Background: Understanding the needs and values of older people is vital to build responsive policies, services and research agendas in this time of demographic transition. Older peoples' expectations and priorities for ageing, as well as their beliefs regarding challenges facing ageing societies, are multi-faceted and require regular updates as populations' age.
Objective: To develop an understanding of self-perceptions of ageing and societal ageing among Canadian retirees of the education sector to define a meaningful health research agenda.
Methods: We conducted four qualitative focus groups among 27 members of a Canadian retired educators' organisation. Data were analysed using an inductive thematic approach.
Results: We identified four overarching themes: (1) vulnerability to health challenges despite a healthier generation, (2) maintaining health and social connection for optimal ageing, (3) strengthening person-centred healthcare for ageing societies and (4) mobilising a critical mass to enact change. Participants' preconceptions of ageing differed from their personal experiences. They prioritised maintaining health and social connections and felt that current healthcare practices disempowered them to manage and optimise their health. Although the sheer size of their demographic instilled optimism of their potential to garner positive change, participants felt they lacked mechanisms to contribute to developing solutions to address this transition.
Conclusion: Our findings suggest a need for health research that improves perceptions of ageing and supports health system transformations to deliver person-centred care. Opportunities exist to harness their activism to engage older people as partners in shaping solution-oriented research that can support planning for an ageing society.
(© The Author(s) 2021. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze: MEDLINE