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Assessing the Suitability of the Design, Safety and Physical Environment of Hospitals for the Elderly: A Case Study in Iran

فصلنامه بهداشت، ایمنی و محیط زیست، دوره: 6، شماره: 1
Year: 1397
COI: JR_IJHSE-6-1_006
Language: EnglishView: 262
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Ahmad Ahmadi Teymourlouy - Health Management and Economics Research Center, Iran University of Medical Sciences. b:Department of Pharmacoeconomics & management, School of Pharmacy- International campus, Iran University of Medical Sciences, Tehran, Iran.
Hesam Seyedin - Department of Health in Disasters and Emergencies, School of Health Management and Information sciences, Iran University of Medical Sciences, Tehran, Iran
Reza Fadaye-Vatan - Center for Ageing Research, University of Social Welfare and Rehabilitation, Tehran, Iran.
Amir Omrani - School of Management and Medical Information, Iran University of Medical Sciences, Tehran, Iran


Iran, like many other countries, is experiencing a growing elderly population. In 2016 census in Iran, out of a population of 79,926,270 people, more than 6 million people (8.2% of the population) were 60 years and over. This can be a major challenge for both healthcare providers and senior patients. This study assesses the suitability of the design, safety, physical environment and systems of Iranian hospitals based on age-friendly design principles. In this descriptive research, 26 hospitals in Tehran were selected and examined. Data were collected using a valid and reliable checklist with 50 items assessing the physical environment, accessibility, service delivery, and management systems of the hospitals. The results showed that 96 % of hospitals have wide corridors, 88% have suitable lighting, 85% have ramps for wheelchair users and railings for staircases, but 58% do not have an alarm in each toilet. It can be said that the majority of the hospitals were in a relatively good condition in terms of safety of the physical environment, but resource management and special programs and healthcare systems for the elderly were in a poor condition. Given the rising elderly population in developing countries such as Iran, it is imperative to create elder-friendly environments and programs. The increasing demand for hospital beds necessitates special care be given to elder-friendly principles in the design and construction of new hospitals as well as the renewal of existing ones. It is also vital to carefully consider the health, safety and special needs of older patients in design and construction of new hospitals as well as the renewal of existing ones and developing health policies at the macro, meso and micro level, especially as they relate to inpatient and outpatient services.


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Ahmadi Teymourlouy, Ahmad and Seyedin, Hesam and Fadaye-Vatan, Reza and Omrani, Amir,1397,Assessing the Suitability of the Design, Safety and Physical Environment of Hospitals for the Elderly: A Case Study in Iran ,

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