| Title | Advancing research in transitional care: challenges of culture, language and health literacy in Asian American and native Hawaiian elders |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Nishita, C, Browne, C |
| Journal | J Health Care Poor UnderservedJ Health Care Poor Underserved |
| Volume | 24 |
| Pagination | 404-18 |
| Date Published | Feb |
| ISBN Number | 1548-6869 (Electronic)<br/>1049-2089 (Linking) |
| Accession Number | 23377741 |
| Keywords | Aged, Aged, 80 and Over, Asian Americans, China/ethnology, Continuity of Patient Care/organization & administration, Culture, Hawaii, Health Care Reform, Health Literacy, Health Services Research/ methods, Humans, Japan/ethnology, Language, Long-Term Care, Oceanic Ancestry Group, Philippines/ethnology, United States |
| Abstract | Recent federal policy supports an individual's preference for home and community-based long-term care, even among nursing home residents. Optimizing transitions from the nursing home to home is a complex undertaking that requires addressing the interrelationships between health literacy and cultural-linguistic factors in the nation's increasingly diverse older adult population. We look at four Asian American and Pacific Islander elder populations to illustrate that differing health profiles and cultural-linguistic values can affect the type of care and support needed and preferred. A research gap exists that links these factors together for optimal transitional care. The paper presents a conceptual framework and proposes a six-point research agenda that includes family assessments of health literacy abilities, exploring the relationship between culture, health, and decision-making, and the development/adaptation of transition planning tools. |
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