Depressed Older Patients’ Need for and Expectations of Improved Health Services—An Evaluative Approach to the Chronic Care Model

Anne Lyberg^1*, Ingela Berggren², Anne Lise Holm³, Elisabeth Severinsson¹

¹Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg, Norway.
²Department of Nursing, Health and Culture, University West, Trollhättan, Sweden.
³Department of Health Science, Stord/Haugesund University College, Stord, Norway.

DOI: 10.4236/ojn.2015.54041                

Abstract

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.

Keywords

Chronic Care Model, Depression, Expectations, Health Services, Needs, Older Persons

Conflicts of Interest

The authors declare no conflicts of interest.

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