Abstract
Background: Relocation is a very important event in people’s lives in general, but really significant in old age. However, some predictors of relocation still need to be improved. The objective of this review was to synthesize qualitative evidence to understand the reasons of the participants to decide on the place of care of the older people. Methods: Systematic review of qualitative studies was conducted in six databases: Scopus, SciELO, PubMed, PsycINFO, Web of Science and CINAHL, from its beginning until 29 November 2017. Qualitative or mixed studies, written in English or Spanish and addressing the decision-making process (already experienced by participants) on the place of care of older persons (65 years or older), were included in the review. PROSPERO (registration number: CRD42018084826). Results: A total of 46 articles were finally included in the analysis. Our main result is the distinction of multiple reasons for each population group involved in the decision-making process, ranking these reasons into three factors: Retention, pull and push. Conclusion: This differentiation allows for a more detailed and in-depth analysis of the motivations of the different groups involved in this process.
Highlights
Many studies and theories focusing on the study of migrations over the years are available [1].Migrations can be defined as a displacement or change of housing, which must be of a certain permanent nature, or at least, it should possess intention of permanence, and this change is performed at a significant distance [2]
The following inclusion criteria were used: (a) original studies published in English or Spanish with qualitative or mixed-method; (b) studies dealt with the decision-making process on the place of care of the older people, adults who are 65 years or older
As noted in the introduction section above, this review addresses the reasons given in this decision-making process, this being one of the three objectives proposed in our previously published review protocol [11]
Summary
Many studies and theories focusing on the study of migrations over the years are available [1].Migrations can be defined as a displacement or change of housing, which must be of a certain permanent nature, or at least, it should possess intention of permanence, and this change is performed at a significant distance [2]. Lee pointed to different factors involved in the migration decision: factors related to the place of origin, factors related to the place of destination, problems, and factors of a personal nature [3]. This author highlighted that both the place of origin and the place of destination have factors maintaining people in the place or attracting them, and factors that push them out [3]. Qualitative or mixed studies, written in English or Spanish and addressing the decision-making process (already experienced by participants) on the place of care of older persons (65 years or older), were included in the review. Our main result is the distinction of multiple reasons for each population group involved in the decision-making process, ranking these reasons into three factors: Retention, pull and push
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