Table 1 Themes and Subthemes
From: Coordinating care for older adults in primary care settings: understanding the current context
THEMES | Subthemes |
|---|---|
1) Challenges in Engaging Older adults in Decisions about their Care | • Older adults should be engaged more in decision-making than they are currently • Understanding why older adults decline services • “Time” is needed for meaningful conversations • Caregivers are an important part of the circle of care |
2) Who is Responsible for Coordinating the care? | • The role of a coordinator • Role clarity needed among patients and providers • Primary health care as a hub for coordinating care |
3) Fragmented Information Sharing between Health Care Providers | • Communication between primary care and community care is fragmented • Providers going beyond what is expected of them to get information about a client • Multiple documentation systems make it hard to access patient information |
4) Lack of Standardized Referral Processes and Follow Up | • Types of referrals to community services • Issues with referring patients to external services |
5) Identifying Services in the Community for Older Adults is challenging | • Many organizations offer a variety of services for older complex patients |
6) Caring for Older Adults in a Rural Communities | • Cultural boundaries • Coordinating care in large geographical location |