Evaluation of the responsiveness of the Iranian health system to the needs of the elderly during the COVID-19 pandemic: a community-based study.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Sepideh Niazie, Heshmatolah Heydari, Hadi Hayati, Ali Dehghanie
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Abstract

Background: The elderly population is growing globally. As a vulnerable part of society, the elderly are exposed to more harm when facing pandemics of infectious diseases, so the quality of the health system's response is critical for these individuals. Considering a paucity of studies in this area, this research assessed the responsiveness of the Iranian health system to the needs of the elderly during the COVID-19 pandemic.

Methods: This cross-sectional descriptive-analytical study was conducted on 259 elderly at the Lorestan University of Medical Sciences from April to September 2022. A combination of stratified multi-stage cluster systematic sampling, was used to recruit participants. The WHO Multi-country Survey Study on Health and Responsiveness was used for data collection. Data were analyzed by using SPSS v.24 software and descriptive/inferential statistics such as the Kolmogorov-Smirnov test, Pearson correlation, independent t-test, ANOVA, and multivariate regression at the statistical significance level of P <.05.

Results: The data analysis revealed that the overall responsiveness of Iran's health system was average (79.99 ± 11.4). The best dimension of responsiveness was access to family support (10.17 ± 1.3), and autonomy was the weakest (7.46 ± 2.5). According to multiple linear regression analysis, the variables of age, gender, education level, medical history, number of children, marital status, and monthly income had a significant relationship with the total health responsiveness score (P <.005). According to the adjusted R2 of 0.94, this regression model was able to explain 94% of variations in the mean total responsiveness score.

Conclusion: The results showed that the Iranian health system's performance in responding to the needs of the elderly during the COVID-19 pandemic was acceptable. These findings can help the health system promote its responsiveness during future epidemics and pandemics and better fulfill the needs of the elderly. Since infrequent studies are available in this field, various dimensions of responsiveness are suggested to be investigated more deeply.

评估2019冠状病毒病大流行期间伊朗卫生系统对老年人需求的响应:一项基于社区的研究
背景:全球老年人口正在增长。老年人作为社会的弱势群体,在面临传染病大流行时更易受到伤害,因此卫生系统应对措施的质量对这些人至关重要。考虑到这一领域缺乏研究,本研究评估了伊朗卫生系统在2019冠状病毒病大流行期间对老年人需求的反应能力。方法:采用横断面描述性分析方法,对2022年4 - 9月洛雷斯坦医科大学259名老年人进行研究。采用分层多阶段整群系统抽样相结合的方法进行研究。数据收集使用了世卫组织关于健康和反应性的多国调查研究。采用SPSS v.24软件对数据进行分析,并采用Kolmogorov-Smirnov检验、Pearson相关检验、独立t检验、方差分析和多元回归等描述性/推断性统计方法进行分析,P水平具有统计学显著性。结果:数据分析显示,伊朗卫生系统的总体反应性为平均水平(79.99±11.4)。反应性维度最佳的是获得家庭支持(10.17±1.3),自主性最差(7.46±2.5)。多元线性回归分析发现,年龄、性别、受教育程度、病史、子女数目、婚姻状况、月收入等变量与健康总反应性得分存在显著相关(P < 2 = 0.94),该回归模型能够解释94%的平均总反应性得分变异。结论:结果表明,在2019冠状病毒病大流行期间,伊朗卫生系统在应对老年人需求方面的表现是可以接受的。这些发现可以帮助卫生系统提高对未来流行病和大流行的反应能力,并更好地满足老年人的需求。由于这一领域的研究很少,因此建议对反应的各个方面进行更深入的研究。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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