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Depressed Older Patients’ Need for and Expectations of Improved Health Services: An Evaluative Approach to the Chronic Care Model
Buskerud and Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
University West, Department of Nursing, Health and Culture, Division of Nursing.ORCID iD: 0000-0003-0305-8649
Stord/Haugesund University College, Department of Health Science, Stord, Norway..
Buskerud and Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
2015 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 4, 376-386 p.Article in journal (Refereed) Published
Abstract [en]

Depression in later life is an underrepresented yet important research area. The aim of the study was to explore depressed older persons' need for and expectations of improved health services one year after implementation of the Chronic Care Model (CCM). A qualitative evaluative design was used. Data were collected through individual interviews with older persons living in Norway. The qualitative content analysis revealed two themes: The need to be safeguarded and Expectation of being considered valuable and capable. Evaluation of the improvement in care with focus on the CCM components showed that the most important components for improving the depressed older person's daily life were: delivery system re-design, self-management support, productive interaction and a well-informed active patient. The findings highlight the need for a health services designed for persons suffering from chronic ill-health, where the CCM could serve as a framework for policy change and support the redesign of the existing healthcare system. We conclude that older persons with depression need attention, especially those who have been suffering for many years. The identified components may have implications for health professionals in the promotion of mental healthcare.

Place, publisher, year, edition, pages
2015. Vol. 5, no 4, 376-386 p.
Keyword [en]
Chronic Care Model, Depression, Expectations, Health Services, Needs, Older Persons
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-7878DOI: 10.4236/ojn.2015.54041OAI: oai:DiVA.org:hv-7878DiVA: diva2:845692
Available from: 2015-08-12 Created: 2015-08-12 Last updated: 2015-08-12Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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