![]() Achieving the goal of the best possible care for the care recipient seem to depend on the informal caregivers having the resources to choose appropriate strategies for gaining influence over decisions. They describe extensive efforts struggling to establish dialogues with the “gatekeepers” of the health care services. In essence, the informal caregivers take the role of the active participant on behalf of their older relative. Informal caregivers take on comprehensive all-consuming roles as intermediaries between the care recipient and the health care services. An inductive thematic content analysis was undertaken. Qualitative telephone interviews were conducted with 19 informal caregivers of older individuals discharged from hospital in Norway. This paper reports findings from a follow-up study with an exploratory qualitative design. This paper aims to describe the informal caregivers’ experiences of influencing decision-making at and after hospital discharge for home-bound older relatives. Care recipients and informal caregivers are expected to take an active consumer role and participate in the care decision-making process. By introducing policies tailored to enabling family members to combine gainful employment with providing care for older relatives, the sustainability of the future care for older individuals in Norway is more explicitly placed on the family and informal caregivers than previously. Adult children and spouses are often the first to assume care giving responsibilities for older adults when declining function results in increased care needs. The care policy and organization of the care sector is shifting to accommodate projected demographic changes and to ensure a sustainable model of health care provision in the future. ![]()
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