A Scoping Review of the Implementation of Local Health and Social Services for Older Adults

Overview

Journal Healthc Policy

Specialty Public Health

Date 2021 Dec 13

PMID 34895413

Citations 2

Authors

Alexandra Ethier

Annie Carrier

Affiliations

Soon will be listed here.

Abstract

Background: Implementing elder-dedicated local health and social services (LHSS) is primary for older Canadian adults to age in place. However, there is currently no synthesis of the factors (barriers and facilitators) involved in LHSS implementation.

Objective: This study aimed to synthesize current knowledge about the institutional factors involved in elder-dedicated LHSS implementation by describing them and their influence.

Methods: A scoping review was conducted using eight databases and the grey literature. Data were analyzed thematically.

Results: A total of 23 documents led to the identification of 15 inter-influencing factors (12 barriers and 11 facilitators). Indeed, 20 connections were noted among factors, mostly among barriers.

Discussion And Implication: Although some barriers and facilitators also affect the implementation of services dedicated to the general population in Canada, the interplay between agism and power issues needs to be taken into consideration for a successful elder-dedicated LHSS implementation.

Citing Articles

Barriers to health, social and long-term care access among older adults: a systematic review of reviews.

Cabanero-Garcia E, Martinez-Lacoba R, Pardo-Garcia I, Amo-Saus E Int J Equity Health. 2025; 24(1):72.

PMID: 40075452 PMC: 11905592. DOI: 10.1186/s12939-025-02429-y.

Data from the PASSI d'Argento Surveillance System on Difficulties Met by Older Adults in Accessing Health Services in Italy as Major Risk Factor to Health Outcomes.

Contoli B, Possenti V, Gallo R, Minardi V, Masocco M Int J Environ Res Public Health. 2022; 19(16).

PMID: 36011973 PMC: 9408778. DOI: 10.3390/ijerph191610340.

Confronting Barriers to Improving Healthcare Performance in Canada.

Sutherland J Healthc Policy. 2021; 17(2):6-18.

PMID: 34895407 PMC: 8665728. DOI: 10.12927/hcpol.2021.26660.

References

Mangiaracina F, Chattat R, Farina E, Saibene F, Gamberini G, Brooker D . Not re-inventing the wheel: the adaptive implementation of the meeting centres support programme in four European countries. Aging Ment Health. 2016; 21(1):40-48. DOI: 10.1080/13607863.2016.1258540. View

Benzies K, Premji S, Hayden K, Serrett K . State-of-the-evidence reviews: advantages and challenges of including grey literature. Worldviews Evid Based Nurs. 2006; 3(2):55-61. DOI: 10.1111/j.1741-6787.2006.00051.x. View

Barnett J, Vasileiou K, Djemil F, Brooks L, Young T . Understanding innovators' experiences of barriers and facilitators in implementation and diffusion of healthcare service innovations: a qualitative study. BMC Health Serv Res. 2011; 11:342. PMC: 3265424. DOI: 10.1186/1472-6963-11-342. View

Bird M, Ouellette C, Whitmore C, Li L, Nair K, McGillion M . Preparing for patient partnership: A scoping review of patient partner engagement and evaluation in research. Health Expect. 2020; 23(3):523-539. PMC: 7321722. DOI: 10.1111/hex.13040. View

Bravo G, Dubois M, Demers L, Dubuc N, Blanchette D, Painter K . Does regulating private long-term care facilities lead to better care? A study from Quebec, Canada. Int J Qual Health Care. 2014; 26(3):330-6. PMC: 4041094. DOI: 10.1093/intqhc/mzu032. View

Gaugler J, Zarit S . The effectiveness of adult day services for disabled older people. J Aging Soc Policy. 2001; 12(2):23-47. DOI: 10.1300/J031v12n02_03. View

Munn Z, Peters M, Stern C, Tufanaru C, McArthur A, Aromataris E . Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018; 18(1):143. PMC: 6245623. DOI: 10.1186/s12874-018-0611-x. View

Jeste D, Blazer 2nd D, Buckwalter K, Cassidy K, Fishman L, Gwyther L . Age-Friendly Communities Initiative: Public Health Approach to Promoting Successful Aging. Am J Geriatr Psychiatry. 2016; 24(12):1158-1170. DOI: 10.1016/j.jagp.2016.07.021. View

Menec V, Brown C . Facilitators and Barriers to Becoming Age-Friendly: A Review. J Aging Soc Policy. 2018; 34(2):175-197. DOI: 10.1080/08959420.2018.1528116. View

10.

Sands L, Wang Y, McCabe G, Jennings K, Eng C, Covinsky K . Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs. J Am Geriatr Soc. 2006; 54(2):339-44. DOI: 10.1111/j.1532-5415.2005.00590.x. View

11.

Kannampallil T, Schauer G, Cohen T, Patel V . Considering complexity in healthcare systems. J Biomed Inform. 2011; 44(6):943-7. DOI: 10.1016/j.jbi.2011.06.006. View

12.

Scharlach A, Graham C, Lehning A . The "Village" model: a consumer-driven approach for aging in place. Gerontologist. 2011; 52(3):418-27. DOI: 10.1093/geront/gnr083. View

13.

Dupuis-Blanchard S, Gould O, Gibbons C, Simard M, Ethier S, Villalon L . Strategies for Aging in Place: The Experience of Language-Minority Seniors With Loss of Independence. Glob Qual Nurs Res. 2017; 2:2333393614565187. PMC: 5342846. DOI: 10.1177/2333393614565187. View

14.

Davenport J, Rathwell T, Rosenberg M . Aging in atlantic Canada: service-rich and service-poor communities. Healthc Policy. 2010; 5(1):e145-60. PMC: 2732661. View

15.

Marek K, Stetzer F, Adams S, Popejoy L, Rantz M . Aging in place versus nursing home care: comparison of costs to Medicare and Medicaid. Res Gerontol Nurs. 2011; 5(2):123-9. DOI: 10.3928/19404921-20110802-01. View

16.

Meiland F, Droes R, de Lange J, Vernooij-Dassen M . Facilitators and barriers in the implementation of the meeting centres model for people with dementia and their carers. Health Policy. 2004; 71(2):243-53. DOI: 10.1016/j.healthpol.2004.08.011. View

17.

Allin S, Grignon M, Le Grand J . Subjective unmet need and utilization of health care services in Canada: what are the equity implications?. Soc Sci Med. 2009; 70(3):465-472. DOI: 10.1016/j.socscimed.2009.10.027. View

18.

Low J, Theriault L . Health promotion policy in Canada: lessons forgotten, lessons still to learn. Health Promot Int. 2008; 23(2):200-6. DOI: 10.1093/heapro/dan002. View

19.

Hassink J, Vaandrager L, Buist Y, de Bruin S . Characteristics and Challenges for the Development of Nature-Based Adult Day Services in Urban Areas for People with Dementia and Their Family Caregivers. Int J Environ Res Public Health. 2019; 16(8). PMC: 6517871. DOI: 10.3390/ijerph16081337. View

20.

Foster-Fishman P, Nowell B, Yang H . Putting the system back into systems change: a framework for understanding and changing organizational and community systems. Am J Community Psychol. 2007; 39(3-4):197-215. DOI: 10.1007/s10464-007-9109-0. View