Older People’s Understandings and Experiences of Using Health and Social Care Services under COVID-19 Lockdown Restrictions in Aotearoa, New Zealand

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health & Social Care in the Community Pub Date : 2024-04-09 DOI:10.1155/2024/8659555
Mikayla Sayat, Tessa Morgan, Janine Wiles, Kathryn Morgan, Merryn Gott
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Abstract

Internationally, the COVID-19 pandemic resulted in changes to services as governments funneled health-related funding and resources into stopping the spread of COVID-19. At the same time, older people were singled out as an “at-risk” group, which prompted caution from both older people and governments to limit their exposure to COVID-19. It remains unclear what the impact this has had on older people’s routine health and social care access, and how older people themselves viewed these changes. This analysis investigates older people’s understanding and experiences of using health and social care services under the COVID-19 lockdown restrictions in 2020. This analysis draws from a wider, letter-writing study that received 748 letters from 854 participants aged 70 years and older who were living in New Zealand during the COVID-19 lockdowns. Just over half of letter writers described access to health and social care services. Informed by Penchansky and Thomas’ 5 A’s of the access framework, we conducted a thematic analysis of this subsample of letters (n = 404). This analysis identified four broad categories relating to access to health and social care services under COVID-19 lockdown restrictions: (a) the system-wide strangeness of physically accessing services, (b) accommodation of services, (c) availability of resources and personnel, and (d) enhanced quality of those included by services. Rather than passively accepting changes, older people adapted to restrictions by drawing on their available materials and social resources. We conclude this analysis with suggestions for improving future interventions and policies to better older people’s access to health and social care during times of crisis.

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新西兰奥特亚罗瓦老年人对在 COVID-19 封锁限制下使用医疗和社会护理服务的理解和体验
在国际上,COVID-19 的流行导致了服务的改变,因为各国政府将与健康有关的资金和资源用于阻止 COVID-19 的传播。与此同时,老年人被列为 "高危 "人群,这促使老年人和政府都要小心谨慎,限制他们接触 COVID-19。目前还不清楚这对老年人的日常医疗和社会护理产生了什么影响,也不清楚老年人自己是如何看待这些变化的。本分析调查了老年人对 2020 年 COVID-19 封锁限制下使用医疗和社会护理服务的理解和体验。该研究收到了 854 位在 COVID-19 封锁期间居住在新西兰的 70 岁及以上老年人的 748 封来信。超过一半的写信人描述了获得医疗和社会护理服务的情况。根据 Penchansky 和 Thomas 的 5 A 获取框架,我们对这部分信件(n = 404)进行了主题分析。该分析确定了与在 COVID-19 封锁限制下获取医疗和社会护理服务有关的四大类别:(a)实际获取服务的全系统陌生感,(b)服务的便利性,(c)资源和人员的可用性,以及(d)服务所包含人员的质量提高。老年人不是被动地接受变化,而是通过利用现有的物质和社会资源来适应限制。在分析的最后,我们提出了改进未来干预措施和政策的建议,以便在危机时期更好地为老年人提供医疗和社会护理服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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