To explore how older adults with multimorbidity organize their everyday management activities, emphasizing the significance of a time-geography perspective.
Key Findings:
Management is embedded in everyday routines, with household life and routine serving as stabilizing strategies, illustrating the time-geography perspective.
Capability constraints and fragile routines arise from symptom fluctuation, limited mobility, energy, and digital capacity, highlighting the impact of personal constraints.
Coordination burden is influenced by coupling and authority constraints, requiring constant alignment with people and facilities, reflecting the relational dynamics.
Active reorganization occurs under multiple constraints, involving simplification and planning ahead, demonstrating adaptive strategies in daily management.
Interpretation:
Everyday management among older adults with multimorbidity is a dynamic time-space process embedded in daily life, shaped by personal, relational, and institutional constraints that influence management practices.
Limitations:
Study focused on a specific urban population, which may limit generalizability and introduce potential biases inherent in qualitative research.
Qualitative nature may not capture all aspects of multimorbidity management, potentially overlooking broader systemic issues.
Conclusion:
A time-geography perspective reveals the complexity of everyday management for older adults with multimorbidity, highlighting the need for person-centered support and practical implications for healthcare providers.
