Therefore, this medicalization approach can miss key factors in determining health outcomes including social determinants of health.
Just as importantly, this approach can miss issues of values, beliefs, and assumptions that older adults can bring into the encounter with service providers.
This issue is especially important when dealing with older migrant communities. Beliefs and attitudes shaped in their place of origin, as well as the migration experience, can influence levels of trust and resulting decisions regarding the use of LTSS.
We need to integrate an understanding of how these beliefs and attitudes affect decision making into any model designed to improve the lives of older persons.