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Advancing research in transitional care: challenges of culture, language and health literacy in Asian American and native Hawaiian elders

TitleAdvancing research in transitional care: challenges of culture, language and health literacy in Asian American and native Hawaiian elders
Publication TypeJournal Article
Year of Publication2013
AuthorsNishita, C, Browne, C
JournalJ Health Care Poor UnderservedJ Health Care Poor Underserved
Volume24
Pagination404-18
Date PublishedFeb
ISBN Number1548-6869 (Electronic)<br/>1049-2089 (Linking)
Accession Number23377741
KeywordsAged, 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
AbstractRecent 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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