Residents' perspectives of mobile X-ray services in support of healthcare-in-place in residential aged care facilities: a qualitative study.

BMC Geriatr

Adelaide Geriatrics Training and Research With Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, 37a Woodville Rd, Woodville South, South Australia, 5011, Australia.

Published: June 2022

AI Article Synopsis

  • Mobile X-ray services (MXS) are helpful for aged care residents because they allow medical care to be delivered without the need for transportation to hospitals, improving comfort and accessibility.
  • A study with 16 aged care residents highlighted their preference for MXS, with emphasis on their need for information about the process and considerations regarding costs for themselves, families, and society.
  • Overall, residents viewed MXS positively, appreciating the ability to receive care in familiar surroundings, but they insisted that the quality of mobile services should meet the standards of traditional X-ray settings.

Article Abstract

Background: Mobile X-ray services (MXS) could be used to investigate clinical issues in aged care residents within familiar surroundings, reducing transfers to and from emergency departments and enabling healthcare to be delivered in residential aged care facilities. There is however little research exploring consumer perspectives about such services. The objective of this research was to explore the perspectives and preferences of residents about the provision of MXS in residential aged care facilities, including their knowledge about the service, perceived benefits, and factors that require consideration for effective implementation.

Methods: A qualitative study design was used. The setting for the study included four residential aged care facilities of different sizes from different parts of a South Australian city. Purposive sampling was used to recruit participants. 16 residents participated in semi-structured interviews that were audio-recorded and transcribed verbatim. Data were inductively derived using thematic analysis.

Results: Participants had a mean age of 85 years, 56% were female, 25% had dementia and 25% had had a mobile X-ray in the last 12 months. Four themes were developed. Participants preferred mobile X-rays, provided as healthcare-in-place, to improve accessibility to them and minimize physical and psychological discomfort. Participants had expectations about the processes for receiving mobile X-rays. Costs of X-rays to people, family and society were a consideration. Decision making required residents be informed about mobile X-rays.

Conclusions: Residents have positive views of MXS as they can receive healthcare-in-place, with familiar people and surroundings. They emphasised that MXS delivered in residential aged care facilities need to be of equivalent quality to those found in other settings. Increased awareness of mobile X-ray services is required.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233760PMC
http://dx.doi.org/10.1186/s12877-022-03212-2DOI Listing

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