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

عنوان مقاله: Evaluation of Elderly’s Integrated Healthcare Components in Primary Healthcare Centers of Tehran, Iran
شناسه ملی مقاله: PSCE01_068
منتشر شده در اولین کنگره بین المللی مراقبت های تسکینی و حمایتی در سالمندان در سال 1401
مشخصات نویسندگان مقاله:

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

خلاصه مقاله:
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

کلمات کلیدی:
Elderl ،integrated health care ،medication review ،risk screening ،self care ability.

صفحه اختصاصی مقاله و دریافت فایل کامل: https://civilica.com/doc/1858148/