Assessing the Isfahan Hospitals based on the World Health Organization's Age-Friendly Hospital Model: A Mixed Method Study

IF 0.9 Q4 GERIATRICS & GERONTOLOGY
M. Tajvar, Maryam Torabi, H. Dargahi, Omolbanin Atashbahar, H. Sajadi
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引用次数: 0

Abstract

Objectives The rapid growth of the elderly population requires the design of age-friendly healthcare systems to respond to the complex needs of the elderly. This study aims to assess the hospitals in Isfahan, Iran based on the age-friendly primary health care centers criteria and identify challenges. Methods & Materials This cross-sequential study was conducted in two phases in 2020-2021. First, using the checklist of Ahmadi et al.’ study, the teaching hospitals in Isfahan were assessed based on the age-friendly primary health care centers criteria. The checklists were completed by observation and based on the opinions of the experts. Data analysis was done in SPSS software, version 26 using descriptive statistics and Pearson correlation test. Qualitative data were collected through a semi-structured interview and were analyzed using Conventional content analysis method. Results Most of the hospitals were in good conditions in terms of physical environment, sanitary facilities, and signboards. The lowest scores were related to the areas of admission and payment, appointments, accessibility, and inpatient services. The mean age-friendly score of hospitals was 51.7 out of 100. There was no significant relationship between the characteristics of hospitals (type of ownership, type of activity, specialty, number of beds, bed occupancy rate, degree of accreditation, and manager’s study field) and their age-friendly scores. We identified 9 themes and 27 sub-themes related to challenges of being age-friendly in the hospitals. Conclusion The hospitals in Isfahan have many shortcomings in being age-friendly. Promoting the expertise of geriatric medicine and geriatric nursing, designing a special queuing system for the elderly, considering a special administrator for the elderly in different departments, reducing the costs of treatment for the elderly, promoting consultation/examination/treatment/follow-up programs for the elderly with an emphasis on upstream documents and cooperation between different departments, empowering employees, upgrading physical infrastructure can help solve existing challenges.
基于世界卫生组织老年友好医院模型的伊斯法罕医院评估:一项混合方法研究
老年人口的快速增长要求老年人友好型医疗保健系统的设计,以应对老年人的复杂需求。本研究旨在评估伊斯法罕的医院,伊朗基于老年人友好初级卫生保健中心的标准,并确定挑战。方法与材料本交叉序贯研究于2020-2021年分两期进行。首先,利用Ahmadi等人的研究清单,根据老年人友好型初级卫生保健中心标准对伊斯法罕的教学医院进行了评估。清单是通过观察和根据专家的意见完成的。数据分析采用SPSS软件26版,采用描述性统计和Pearson相关检验。采用半结构化访谈法收集定性数据,采用常规内容分析法进行分析。结果多数医院在物理环境、卫生设施、招牌等方面条件较好。得分最低的与入院和付款、预约、可及性和住院服务有关。医院对老年人友好的平均得分为51.7分(满分100分)。医院特征(所有制类型、活动类型、专科、床位数、床位占用率、认证程度、管理人员学习领域)与老年友好得分无显著相关。我们确定了9个主题和27个副主题,这些主题与医院中对老年人友好的挑战有关。结论伊斯法罕市医院在老年人友好方面存在诸多不足。推广老年医学和老年护理专业知识,设计老年人特殊排队制度,考虑不同科室的老年人专门管理员,降低老年人治疗成本,推动老年人咨询/检查/治疗/随访项目,重点是上游文件和不同部门之间的合作,赋予员工权力,升级有形基础设施有助于解决现有的挑战。
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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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