Evaluation of Elderly’s Integrated Healthcare Components in Primary Healthcare Centers of Tehran, Iran

Publish Year: 1401
نوع سند: مقاله کنفرانسی
زبان: English
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PSCE01_068

تاریخ نمایه سازی: 29 آذر 1402

Abstract:

Introduction: Over the past few decades, significant demographic and epidemiological changeshave been occurred and led to serious changes in the health-care needs of the elderly. Integratedcare has been emerged as a strategy to provide better care for the elderly in the community. The aimof this study was conducted to evaluate components of integrated health-care program of the elderlyMaterials and methods: This quantitative cross-sectional study was conducted in Tehran(Iran) in ۲۰۱۹. For the purpose of the study, a two-stage cluster sampling method was employed.In the firs stage, primary health-care centers were selected, then in the second stage, a systematicrandom sampling was conducted based on the number of the elderly covered by each center. levelof frailty, medication use awareness, and self-care ability were evaluated by the elderly self-reportquestionnaire. The questionnaire was piloted with thirty respondents. The test–retest reliability scorefor the questionnaire was r=۰.۷۹۵, P<۰.۰۰۱. Data analysis of the questionnaire was conductedusing generalized estimating equation model by SPSS software Version ۲۲. Statistical significancefor all analyses was set at P < ۰.۰۵Results: Findings of the components showed that the mean ± standard deviation of frailty (۸۰ ± ۱۷)and self-care ability(۸۷ ± ۱۷) were higher than the mean of medication use awareness (۴۹ ± ۱۹).Frailty and self-care ability (β = frailty, self-care) of the elderly had a positive statistical significancewith the ones with good financial status (β = ۵, ۱۰) and without chronic disease (β = ۴, ۵). Medicationuse awareness had a negative statistical significance with illiteracy (β = −۹.۵)Conclusion: It is suggested that the medication use awareness of the elderly should be prioritizedby improving integrated health-care program

Authors

Hajar Ziaeefar

Healthcare Management PhD. Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Abolghasem Pourreza

Professor. Dept. of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Maryam Tajvar

Assistant Professor of Healthcare Management. Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Mehdi Yaseri

Associate Professor Biostatistics. Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran