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Qualitative methods used 36 semi-structured interviews with adults aged 65+ from diverse household and social contexts. Thematic analysis identified recurring quality-care barriers: limited provider responsiveness, structural inequities (long travel and out-of-pocket costs), and insufficient culturally sensitive communication. Adaptive coping reduced immediate hardship but harmed long-term outcomes, supporting targeted innovations.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/improving-health-care-quality-for-older-adults-in-sub-saharan-africa-lessons-for-global-health-systems-abstract-igaf1224141/428811/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/improving-health-care-quality-for-older-adults-in-sub-saharan-africa-lessons-for-global-health-systems-abstract-igaf1224141/428811.png","ImageObject",300,407,{"name":92,"@type":93},"awa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What healthcare quality problems did older adults report?","Question",{"text":112,"@type":113},"Older adults highlighted inadequate provider responsiveness to age-related conditions, structural inequities such as long travel distances and out-of-pocket costs, and a lack of culturally sensitive communication during clinical encounters.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted?",{"text":117,"@type":113},"The study used a qualitative design with 36 semi-structured interviews with adults aged 65 years and older, recruited purposively to reflect diverse household and social contexts.",{"name":119,"@type":110,"acceptedAnswer":120},"What coping strategies were described, and what was the impact?",{"text":121,"@type":113},"Participants reported adaptive strategies such as community caregiving networks, spirituality, and alternative medicine use, alongside maladaptive strategies like delaying or avoiding care. While these helped with immediate hardship, they often undermined long-term health outcomes.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},428811,1790790153,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},3985747858093,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Innovation in Aging, 2025, Vol. 9, No. S2 1239  \nAbstract citation ID: igaf122.4141  \nIMPROVING HEALTH CARE QUALITY FOR OLDER  \nADULTS IN SUB-SAHARAN AFRICA: LESSONS FOR  \nGLOBAL HEALTH SYSTEMS  \nJudith Ani, Walter Sisulu University, Mthatha, Eastern Cape, South Africa  \nThis study examined how older adults in a Sub-Saharan African community experience healthcare interactions and navigate health and disability challenges, with an emphasis on identifying system-level gaps and opportunities for quality improvement in healthcare delivery. Using a qualitative design,  \n36 semi-structured interviews were conducted with adults aged  \n65 years and older, recruited purposively to capture diverse household and social contexts. Data were thematically analyzed to explore lived experiences of care access, quality, and coping strategies. Participants highlighted three recurring challenges in the quality of care: inadequate provider responsiveness to age-related conditions, structural inequities such as long travel distances and out-of-pocket costs, and lack of culturally sensitive communication in clinical encounters. In response, older adults adopted adaptive coping strategies (community caregiving networks, spirituality, and alternative medicine use) and maladaptive strategies (delaying or avoiding care). While these strategies mitigated immediate hardship, they often undermined long-term health outcomes. The findings underscore the urgent need for quality improvement innovations tailored to older populations in low-resource settings. Strengthening provider training in geriatric competencies, integrating community health workers into formal systems, and implementing financial protection measures can enhance care equity. These insights from Sub-Saharan Africa offer globally relevant lessons for advancing age-friendly, patient-centered care in diverse health systems.","cbCaidkcY6szFMjG","https://ap.wps.com/l/cbCaidkcY6szFMjG","pdf",1086436,"English","# Study focus and context\n## Methods and participant profile\n## Thematic findings on quality of care\n## Coping strategies and implications\n## Recommendations for global health systems","[{\"question\":\"What healthcare quality problems did older adults report?\",\"answer\":\"Older adults highlighted inadequate provider responsiveness to age-related conditions, structural inequities such as long travel distances and out-of-pocket costs, and a lack of culturally sensitive communication during clinical encounters.\"},{\"question\":\"How was the study conducted?\",\"answer\":\"The study used a qualitative design with 36 semi-structured interviews with adults aged 65 years and older, recruited purposively to reflect diverse household and social contexts.\"},{\"question\":\"What coping strategies were described, and what was the impact?\",\"answer\":\"Participants reported adaptive strategies such as community caregiving networks, spirituality, and alternative medicine use, alongside maladaptive strategies like delaying or avoiding care. While these helped with immediate hardship, they often undermined long-term health outcomes.\"}]","IMPROVING HEALTH CARE QUALITY FOR OLDER ADULTS IN SUB-SAHARAN AFRICA: LESSONS FOR GLOBAL HEALTH SYSTEMS - Abstract - igaf122.4141 | PDF",1790647759]