2.50
Hdl Handle:
http://hdl.handle.net/10755/153702
Type:
Presentation
Title:
Developing a Health Care Model for Rural Elders
Abstract:
Developing a Health Care Model for Rural Elders
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Averill, Jennifer B., RN, MSN, PhD
P.I. Institution Name:The University of New Mexico
Title:Assistant Professor of Nursing
Objectives: To analyze dimensions of the health concept, challenges to remaining healthy, and health care outcomes for two populations of rural elders; to develop a preliminary explanatory model for these phenomena; and to compare the model to other rural frameworks.<P> Design: Two critical ethnographies were compared for conceptual clarity about health, health challenges, and health care outcomes. An exploratory, descriptive design was used to compare results, yielding an explanatory model.<P> Population, Sample, Setting, Years: One sample (1997) consisted of 23 Hispanic elders in Colorado. Another sample (2001)consisted of 22 Hispanic and non-Hispanic rural elders in New Mexico.<P> Concepts Studied: Both studies explored the rural elders' definitons of health, perceived health care issues or challenges, and perceptions of their health care experiences within the contexts of history, culture, politics, socioeconomics, and rurality.<P> Methods: The current study applied narrative analysis of textual data from the previous investigations, as well as hermeneutic analysis of existing frameworks.<P> Findings: Health dimensions were maintaining an active daily routine, spiritual/religious activities, autonomy, and avoidance of contact with health providers. Sociocultural variations existed for home remedies and family support. Common challenges involved inadequate access to care providers; overpriced prescriptions; and socioeconomic marginalization. Health care outcomes included inadequate care access, irregular medication regimens, high acuity once ill, ethnic tensions, and fragmented services.<P> Conclusions: A preliminary explanatory framework called the Patterns of Health Model for Rural Elders supported earlier theoretical modeling. However, differences emerged in this study between groups of Hispanic elders/elders of any ethnic background living near the U.S.-Mexican border, and non-Hispanic elders of other regions.<P> Implications: Nurses need knowledge regarding sociocultural and historical contexts of a growing population of rural elders. Identifying, analyzing, and resolving health care challenges for this population will require partnerships involving health care providers, community planners, health care managers, and rural elderly community members.<!--Abstract 13436 modified by 63.184.49.236 on 11-3-2002--></P></P></P></P></P></P></P>
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping a Health Care Model for Rural Eldersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153702-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing a Health Care Model for Rural Elders</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Averill, Jennifer B., RN, MSN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of New Mexico</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">javerill@salud.unm.edu</td></tr><tr><td colspan="2" class="item-abstract">Objectives: To analyze dimensions of the health concept, challenges to remaining healthy, and health care outcomes for two populations of rural elders; to develop a preliminary explanatory model for these phenomena; and to compare the model to other rural frameworks.&lt;P&gt; Design: Two critical ethnographies were compared for conceptual clarity about health, health challenges, and health care outcomes. An exploratory, descriptive design was used to compare results, yielding an explanatory model.&lt;P&gt; Population, Sample, Setting, Years: One sample (1997) consisted of 23 Hispanic elders in Colorado. Another sample (2001)consisted of 22 Hispanic and non-Hispanic rural elders in New Mexico.&lt;P&gt; Concepts Studied: Both studies explored the rural elders' definitons of health, perceived health care issues or challenges, and perceptions of their health care experiences within the contexts of history, culture, politics, socioeconomics, and rurality.&lt;P&gt; Methods: The current study applied narrative analysis of textual data from the previous investigations, as well as hermeneutic analysis of existing frameworks.&lt;P&gt; Findings: Health dimensions were maintaining an active daily routine, spiritual/religious activities, autonomy, and avoidance of contact with health providers. Sociocultural variations existed for home remedies and family support. Common challenges involved inadequate access to care providers; overpriced prescriptions; and socioeconomic marginalization. Health care outcomes included inadequate care access, irregular medication regimens, high acuity once ill, ethnic tensions, and fragmented services.&lt;P&gt; Conclusions: A preliminary explanatory framework called the Patterns of Health Model for Rural Elders supported earlier theoretical modeling. However, differences emerged in this study between groups of Hispanic elders/elders of any ethnic background living near the U.S.-Mexican border, and non-Hispanic elders of other regions.&lt;P&gt; Implications: Nurses need knowledge regarding sociocultural and historical contexts of a growing population of rural elders. Identifying, analyzing, and resolving health care challenges for this population will require partnerships involving health care providers, community planners, health care managers, and rural elderly community members.&lt;!--Abstract 13436 modified by 63.184.49.236 on 11-3-2002--&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;&lt;/P&gt;</td></tr></table>en_GB
dc.date.available2011-10-26T12:27:18Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T12:27:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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