title: Advancing research in transitional care: challenges of culture, language and health literacy in Asian American and native Hawaiian elders.
abstract: Recent federal policy supports an individual's preference for home and community-based long-term care, even among nursing home residents. Optimizing transitions from the nursing home to home is a complex undertaking that requires addressing the interrelationships between health literacy and cultural-linguistic factors in the nation's increasingly diverse older adult population. We look at four Asian American and Pacific Islander elder populations to illustrate that differing health profiles and cultural-linguistic values can affect the type of care and support needed and preferred. A research gap exists that links these factors together for optimal transitional care. The paper presents a conceptual framework and proposes a six-point research agenda that includes family assessments of health literacy abilities, exploring the relationship between culture, health, and decision-making, and the development/adaptation of transition planning tools.
authors: University of Hawaii School of Social Work, Honolulu, Hawai‘i 96822, USA. cnishita@hawaii.edu
authors: Christy
authors: C
authors: Nishita
authors: Colette
authors: C
authors: Browne
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D002681:China / Q000208:ethnology; D003266:Continuity of Patient Care / Q000458:organization & administration; D003469:Culture; D006254:Hawaii; D018166:Health Care Reform; D057220:Health Literacy; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D007564:Japan / Q000208:ethnology; D007802:Language; D008134:Long-Term Care; D044468:Native Hawaiian or Pacific Islander; D010679:Philippines / Q000208:ethnology; D014481:United States