title: Experiences of health care for older people who need support to live at home: A systematic review of the qualitative literature.
abstract: Perceived experiences of health care for older people who need support to live at home can illuminate areas needing improvement in quality of care, and guide towards better ways to support ageing populations to live at home. This systematic review synthesized findings from the qualitative literature about perceived experiences of health care for older people who need support to live at home, from the perceptions of older people, carers and health providers. Searches of electronic databases and eligibility screening produced 46 included studies for review. Thematic synthesis revealed how health care impacts on the older person's sense of autonomy, both in health care decisions and everyday life. Autonomy is empowered by the older person's own capacity and by respectful conduct of health providers. Engagement between older people, carers and health providers is a negotiated interaction, affected by multiple factors.
authors.affiliation: University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia. Electronic address: anna.gregory@tripiri.com.
authors.forename: Anna
authors.initials: A
authors.lastname: Gregory
authors.affiliation: University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia.
authors.forename: Shylie
authors.initials: S
authors.lastname: Mackintosh
authors.affiliation: University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia.
authors.forename: Saravana
authors.initials: S
authors.lastname: Kumar
authors.affiliation: University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia.
authors.forename: Carol
authors.initials: C
authors.lastname: Grech
mesh_terms: D000368:Aged; D017028:Caregivers / Q000523:psychology*; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D036301:Qualitative Research; D011787:Quality of Health Care
keywords: Aged; Caregivers; Home care services; Qualitative research; Quality of health care