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Article: Identifying service needs from the users' and service providers' perspective: a focus group study of Chinese elders, health and social care professionals

TitleIdentifying service needs from the users' and service providers' perspective: a focus group study of Chinese elders, health and social care professionals
Authors
KeywordsElderly
Focus group
Nurses
Nursing
Service needs
Issue Date2010
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067
Citation
Journal of Clinical Nursing, 2010, v. 20 n. 23-24, p. 3463-3471 How to Cite?
Abstract
Aim. This is a preliminary study to identify older people service needs in Hong Kong from the users’ and service providers’ perspective. Background. As the Hong Kong population is ageing rapidly, it is important to identify the needs for care of older people. Although a wide variety of medical and social services have been provided to meet the needs of older people, there has been little evaluation from the users’ or service providers’ perspective regarding what the needs are and how well current service provisions match their needs. In recent years the importance of patient-centred care has been emphasised, where patient’s expectation of care has been given a central role in guiding and improving the provision of health. However few studies have been carried out with respect to services for older people. Design. To identify the service needs, a focus group study was conducted. Both service providers and older people were interviewed. This preliminary study used a qualitative research method to identify older people’s service needs, generating rich information which could be used to inform older people care service development. Method. Data were collected by conducting eight focus group discussions. The focus group interviews were audio-taped. Interviews were then transcribed and themes were identified. Results. The study identified several areas for improvement in services for older people, covering adequacy, accessibility and affordability of medical services, coordination of health and social care, quality of long-term care, negative perceptions and training needs. Some themes such as service adequacy and negative staff attitudes occurred in both older people and health professional focus groups. The themes of fast access, continuity of care and smooth transition, affordability, provision of information of available health and social services appear to be universal as these have also been identified in similar studies in other countries. Conclusion. In addition to other objective outcomes, such as duration of stay in hospital or re-admission rates after hospital discharges, changes in service provisions towards improvement should be evaluated from the users as well as professional care providers’ perspectives. Relevance to clinical practice. Areas of improvement in service delivery include timely access, continuity, affordability, better coordination of health and social care, quality of care particularly in the long-term residential care setting and healthcare professionals’ communication and caring skills and attitude.
Persistent Identifierhttp://hdl.handle.net/10722/130083
ISSN
2013 Impact Factor: 1.233
ISI Accession Number ID
Funding AgencyGrant Number
CADENZA: A Jockey Club Initiative for Seniors ('CADENZA')
Hong Kong Jockey Club Charities Trust
Funding Information:

This research was funded by CADENZA: A Jockey Club Initiative for Seniors ('CADENZA') which was supported by a grant from The Hong Kong Jockey Club Charities Trust. We also thank The Salvation Army Hong Kong and The Hong Kong Red Cross in helping us to organize the focus groups.

 

Author Affiliations
  1. The University of Hong Kong
  2. Chinese University of Hong Kong
DC FieldValueLanguage
dc.contributor.authorWoo, Jen_US
dc.contributor.authorMak, Ben_US
dc.contributor.authorCheng, JOYen_US
dc.contributor.authorChoy, Een_US
dc.date.accessioned2010-12-23T08:46:38Z-
dc.date.available2010-12-23T08:46:38Z-
dc.date.issued2010en_US
dc.identifier.citationJournal of Clinical Nursing, 2010, v. 20 n. 23-24, p. 3463-3471en_US
dc.identifier.issn0962-1067-
dc.identifier.urihttp://hdl.handle.net/10722/130083-
dc.description.abstractAim. This is a preliminary study to identify older people service needs in Hong Kong from the users’ and service providers’ perspective. Background. As the Hong Kong population is ageing rapidly, it is important to identify the needs for care of older people. Although a wide variety of medical and social services have been provided to meet the needs of older people, there has been little evaluation from the users’ or service providers’ perspective regarding what the needs are and how well current service provisions match their needs. In recent years the importance of patient-centred care has been emphasised, where patient’s expectation of care has been given a central role in guiding and improving the provision of health. However few studies have been carried out with respect to services for older people. Design. To identify the service needs, a focus group study was conducted. Both service providers and older people were interviewed. This preliminary study used a qualitative research method to identify older people’s service needs, generating rich information which could be used to inform older people care service development. Method. Data were collected by conducting eight focus group discussions. The focus group interviews were audio-taped. Interviews were then transcribed and themes were identified. Results. The study identified several areas for improvement in services for older people, covering adequacy, accessibility and affordability of medical services, coordination of health and social care, quality of long-term care, negative perceptions and training needs. Some themes such as service adequacy and negative staff attitudes occurred in both older people and health professional focus groups. The themes of fast access, continuity of care and smooth transition, affordability, provision of information of available health and social services appear to be universal as these have also been identified in similar studies in other countries. Conclusion. In addition to other objective outcomes, such as duration of stay in hospital or re-admission rates after hospital discharges, changes in service provisions towards improvement should be evaluated from the users as well as professional care providers’ perspectives. Relevance to clinical practice. Areas of improvement in service delivery include timely access, continuity, affordability, better coordination of health and social care, quality of care particularly in the long-term residential care setting and healthcare professionals’ communication and caring skills and attitude.-
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067-
dc.relation.ispartofJournal of Clinical Nursingen_US
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.subjectElderly-
dc.subjectFocus group-
dc.subjectNurses-
dc.subjectNursing-
dc.subjectService needs-
dc.titleIdentifying service needs from the users' and service providers' perspective: a focus group study of Chinese elders, health and social care professionalsen_US
dc.typeArticleen_US
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0962-1067&volume=20&issue=23-24&spage=3463&epage=3471&date=2010&atitle=Identifying+service+needs+from+the+users%27+and+service+providers%27+perspective:+a+focus+group+study+of+Chinese+elders,+health+and+social+care+professionals-
dc.identifier.emailWoo, J: jeanwoowong@cuhk.edu.hken_US
dc.identifier.emailMak, B: benise@hku.hken_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1365-2702.2011.03702.x-
dc.identifier.pmid22074148-
dc.identifier.scopuseid_2-s2.0-81155124481-
dc.identifier.hkuros192233en_US
dc.identifier.volume20-
dc.identifier.issue23-24-
dc.identifier.spage3463-
dc.identifier.epage3471-
dc.identifier.isiWOS:000297864500022-

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