Explanation of the Structural-functional Challenges of Comprehensive Health Centers in Babol City, Iran, Based on the Guidelines of the World Health Organization’s Elderly-friendly Centers

IF 0.9 Q4 GERIATRICS & GERONTOLOGY
Fatemeh Soleimani Kebria, S. Sum, A. Tirgar, Samaneh Pourhadi, A. Delbari, Mohsen Shati, Elaheh Sadeghi
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Abstract

Objectives Primary care is the first main interface of health services for the elderly to maintain and improve their health. Therefore, it is essential to evaluate the appropriateness of the way to provide services for this population group, which is one of the most vulnerable classes of society. This study was conducted to explain the structural and functional challenges of comprehensive health centers in Babol City, based on the guidelines of the World Health Organization’s elderly-friendly centers to plan aging-friendly. Methods & Materials The current research was a descriptive qualitative study using the content analysis method with a conventional approach. This research was conducted on elderly people who were referred to comprehensive health centers and their families as well as service providers in the form of in-depth semi-structured interviews until reaching the level of data saturation. Each interview was implemented immediately after implementation, and the content analysis of the interviews was conducted by determining conceptual units, accurate coding, and continuous comparison method until the formation of subgroups and main classes. Results In this study, 23 elderly people with an average age of 71.47±7.88, 5 family members, and 14 service providers participated. A total of 72 codes were extracted from all the interviews, which were divided into five main categories of structural factors, behavioral issues, educational characteristics, social support, and functional challenges during the analysis process. A total of twelve subgroups emerged for the five main classes. Conclusion Several underlying factors exist in the path of making comprehensive health centers elderly-friendly, and which will be impossible to achieve this issue without providing the conditions and eliminating the existing challenges. Therefore, the obtained components may help in identifying, and prioritizing needs, and choosing the type of interventions to adapt comprehensive health centers to the needs of the elderly.
基于世界卫生组织老年友好中心指南的伊朗巴博勒市综合卫生中心结构-功能挑战的解释
目的初级保健是老年人维持和改善健康的第一个主要卫生服务界面。因此,必须评价向这一人口群体提供服务的方式是否适当,因为这是社会中最脆弱的阶层之一。本研究是根据世界卫生组织的老年友好中心的指导方针来进行老年友好规划,以解释巴博勒市综合保健中心的结构和功能挑战。方法与材料本研究采用常规方法,采用内容分析法进行描述性定性研究。本研究采用深度半结构化访谈的形式,对转介到综合健康中心的老年人及其家庭和服务提供者进行访谈,直至达到数据饱和水平。每次访谈在实施后立即实施,通过确定概念单位、准确编码、连续比较法对访谈进行内容分析,直至形成子组和主类。结果共有23名平均年龄71.47±7.88岁的老年人、5名家庭成员、14名服务提供者参与研究。在分析过程中,从所有访谈中共提取了72个代码,并将其分为结构因素、行为问题、教育特征、社会支持和功能挑战五大类。五个主要类别共出现了十二个子组。结论综合健康中心的老年友好化道路存在若干潜在因素,不提供条件,不消除存在的挑战,是不可能实现这一问题的。因此,获得的组成部分可能有助于确定和优先考虑需求,并选择干预措施的类型,以使综合保健中心适应老年人的需求。
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来源期刊
Salmand-Iranian Journal of Ageing
Salmand-Iranian Journal of Ageing GERIATRICS & GERONTOLOGY-
CiteScore
2.00
自引率
18.20%
发文量
20
审稿时长
4 weeks
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