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Research

Vulnerable older people’s views on proactive care planning: a qualitative interview study in primary care

Lisa Kastbom, Anna Olaison, Annette Sverker and Anna Segernäs
BJGP Open 2025; 9 (1): BJGPO.2024.0167. DOI: https://doi.org/10.3399/BJGPO.2024.0167
Lisa Kastbom
1 Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
2 Primary Health Care Centre, Ekholmen, Linköping, Sweden
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  • ORCID record for Lisa Kastbom
  • For correspondence: lisa.kastbom@liu.se
Anna Olaison
3 Department of Culture and Society, Linköping University, Linköping, Sweden
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Annette Sverker
1 Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
4 Department of Activity and Health, Linköping University, Linköping, Sweden
5 Pain and Rehabilitation Center, Linköping University, Linköping, Sweden
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Anna Segernäs
1 Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
2 Primary Health Care Centre, Ekholmen, Linköping, Sweden
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    Figure 1. The seven steps of the latent qualitative content analysis used in the analysis
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    Figure 2. Overview of the three categories with 10 sub-categories and an overarching theme describing the views of older, vulnerable patients on a more systematic, proactive approach to care planning in a Swedish primary care setting

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    Table 1. Characteristics of the 25 participants
    Characteristic n (%)a
    Age, years, mean (range) 84 (76–92)
    Gender
    Man11 (44)
    Woman14 (56)
    Living situation
    Cohabitant15 (60)
    Living alone10 (40)
    Relationship status
    Married22 (88)
    Widow/widower7 (32)
    Not married3 (12)
    Primary healthcare centre county
    Östergötland8 (67)
    Jönköping4 (33)
    Primary healthcare centre setting
    Rural5 (42)
    Urban7 (58)
    • aUnless otherwise stated.

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    Table 2. Examples of the steps of the analysis using latent qualitative content analysis
    Meaning unitCodeSub-categoryCategory
    'I’m not worried, no, because everyone has to change their lives more or less when they get old and can't manage on their own. So I'm prepared for that, that the day will come when I have to do that. And that’s a concern for another day. I'll think about it then, but I won't worry about it now.' Not worried about the future
    One day, you can’t manage on your own
    A concern for another day
    Postponing plansI would like to live in the present, so why plan ahead?
    'It’s documented … In the medical records. So, it’s no harder than having someone else look it over and take over if someone quits or something like that. Then what we have agreed upon is documented. So, it can be an advantage.'Appreciation of documented agreement
    Agreement between patient and healthcare staff
    An advantage when healthcare staff can read the documented agreement
    Appreciation of agreement: a certainty for future planningCare agreements usually went unnoticed
    'Yes, but if I'm [cognitively] coherent enough to express what I want, then you should respect that, I think. I absolutely think so. The day I can't object any longer, then my relatives have to take over and speak on my behalf.'Respect one’s will when cognitively clear
    Autonomy
    Relatives’ right to speak on patient’s behalf when not cognitively clear
    My life, my rightsLet me decide versus they know best

Supplementary Data

  • K_10.3399BJGPO.2024.0167_supp_v2.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Vulnerable older people’s views on proactive care planning: a qualitative interview study in primary care
Lisa Kastbom, Anna Olaison, Annette Sverker, Anna Segernäs
BJGP Open 2025; 9 (1): BJGPO.2024.0167. DOI: 10.3399/BJGPO.2024.0167

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Vulnerable older people’s views on proactive care planning: a qualitative interview study in primary care
Lisa Kastbom, Anna Olaison, Annette Sverker, Anna Segernäs
BJGP Open 2025; 9 (1): BJGPO.2024.0167. DOI: 10.3399/BJGPO.2024.0167
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Keywords

  • Qualitative research
  • older adults
  • Aged
  • Primary health care

More in this TOC Section

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  • Community-based cardiovascular risk assessment using the cardisioTM AI test: a prospective cohort study
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