Table 2 Concepts related to care and support of frail older adults in 2018 and preferences for future, mapped to adapted domains of the SELFIE framework (N = 2314 unique participants)
From: Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study
In 2018% (n) | Future preferences % (n) | |
|---|---|---|
INDIVIDUAL WITH MULTI-MORBIDITY AND THEIR ENVIRONMENT | ||
Needs | ||
Support matches needs a | 93.5% (1947/2083) | |
Social network (‘Sometimes’, ‘often’ or ‘always’) b | ||
Someone who will take you to the doctor if necessary | 61% (1293/2114) | |
Someone who prepares food for you when you’re not able to | 44% (881/1997) | |
Someone to help you with your day-to-day work when you’re sick | 70% (1408/2014) | |
Someone who can give you good advice in difficult situations | 76% (1556/2046) | |
Someone you can trust or talk to about personal problems | 88% (1883/2132) | |
Someone who understands your problems | 88% (1809/2053) | |
Use of community servicesc, d, e, j | ||
Help with the housework | 57% (650/1132) | 81% (919/1132) |
Care and assistance at home | 35% (398/1132) | 86% (978/1132) |
Meal service | 13% (143/1132) | 49% (550/1132) |
Elderly day care centref | 4% (41/1132) | 6% (62/1132) |
Apartment for older adults | 3% (36/1132) | 22% (251/1132) |
Short stays in a Nursing home | 3% (36/1132) | 22% (246/1132) |
Care centre with nighttime services | 1% (16/1132) | 2% (25/1132) |
Other (e.g., Hospital, cleaning) | 14% (157/1132) | 3% (37/1132) |
I do not know | 13% (147/1132) | |
Transportc, d, e, j | ||
Transportation and assistance services (e.g., to doctor’s office, shopping) | 24% (274/1132) | 51% (572/1132) |
DOMAIN: WORKFORCE | ||
Informal caregiver supportc, e, j | ||
Family members of the same age (e.g., spouse, partner) | 56% (863/1542) | 56% (870/1542) |
Younger family members (e.g., children, grandchildren) | 55% (845/1542) | 67% (1033/1542) |
Friends and neighbours | 23% (350/1542) | 30% (454/1542) |
Use of health care professionalsd | ||
Physiotherapy c, e | 45% (505/1132) | 43% (486/1132) |
GP visitsg | ||
0 visits | 2% (46/2163) | |
1–6 visits | 60% (1307/2163) | |
7–10+ visits | 37% (810/2163) | |
Specialist visitsg | ||
0 visits | 16% (328/2045) | |
1–6 visits | 67% (1376/2045) | |
7–10+ visits | 17% (341/2045) | |
Other medical services (e.g., dentist, eye doctor) | 59% (1368/2314) | |
Use of care organizationsc, h, d, e | ||
Private help (self-payment) | 47% (466/996) | 43% (425/996) |
Non-profit aid (e.g., home care support) | 42% (417/996) | 86% (855/996) |
Pro Senectute (a non-profit foundation serving older adults) | 9% (92/996) | 26% (261/996) |
Red Cross Baselland | 6% (63/996) | 10% (100/996) |
Associations i | 3% (27/996) | 6% (58/996) |
Nursing home | 23% (227/996) | |
Other (e.g., help with cleaning) | 20% (195/996) | 7% (74/996) |