A Multidisciplinary Exploratory Approach for Investigating the Experience of Older Adults Attending Hospital Services

HERD. 2021 Jan;14(1):141-163. doi: 10.1177/1937586720920858. Epub 2020 May 26.

Abstract

Background: The public areas of the hospital built environment have hardly been investigated for their age-friendliness.

Objective: This exploratory, multidisciplinary pilot study investigates the relationship between the physical environment and design of hospital spaces and older people's outpatient experience.

Methods: Sixteen participants were recruited from a geriatric Outpatient Clinic at a metropolitan public hospital in Australia. Participants were engaged in a concurrent mixed-method approach, comprising a comprehensive geriatric survey, walking observation, semi-structured interview and an independent architectural audit.

Results: Several elements arising from the hospital environment were identified as facilitators and barriers for its utilization and intrinsically related to participants' physical capacity.

Discussion: Age-friendly hospital design needs to consider strategies to remove barriers for older adults of different capacities, thus promoting healthy aging.

Keywords: age-friendly hospital; environment design; frailty; hospital design; mixed-method.

MeSH terms

  • Aged
  • Australia
  • Environment*
  • Hospitals
  • Humans
  • Pilot Projects
  • Walking*