Abstract

Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level. However, aspects of health need to be considered on a societal level as well. This study aims to get a deeper understanding of perceptions of the usability of the information compiled during the PHVs to promote health, among older persons, on a societal level. Three online focus groups were conducted with heads of unit of PHVs, heads of department, and politicians responsible for health and welfare in seven municipalities in Sweden (n = 12). The findings were visualised in the core category Enable an inclusive society and the interrelated categories Monitoring determinants of health and Enabling exchange of information. The information from the PHVs could be used to monitor determinants of health by identifying assets, challenges, shifts, trends, and future needs in the society. Moreover, exchange of information from the PHVs could occur within and outside the health and welfare organisation. However, the potential use was affected by hindrances illustrated in the category Obstacles to interpreting and communicating the information. To conclude, using the information from the PHVs could possibly contribute to an inclusive society, where persons not usually represented in decision making are given a voice.

Highlights

  • Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level

  • The aim was to get a deeper understanding of their perception of the usability of the information compiled during the PHVs to promote health, among older persons, on a societal level

  • The findings develop the understanding of how the participants perceived the potential use of the information from the PHVs and what obstacles affected the potential use

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Summary

Introduction

Preventive home visits (PHVs) are offered to older persons with the purpose of promoting health and preventing risks on an individual level. More knowledge is needed to take advantage of the information gathered during the visits and to create a society which helps older persons to maintain or improve their health. The COVID-19 pandemic has led to increased social distance and isolation among older persons [3,4]. This situation requires those in leading positions to create a society which promotes health among older persons. In 1991, Dahlgren and Whitehead described determinants of health that have an impact on a person’s health status. They described the environmental determinants displayed in mainly three layers

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