{"title":"柬埔寨老年人获得医疗保健的障碍和促进因素：医疗保健专业人员的观点——一项定性研究。","authors":"Khin Thiri Maung, Socheata Phou, Monica Hunsberger, Ailiana Santosa, Nawi Ng, Heng Sopheab, Chhorvann Chhea, Malin Eriksson","doi":"10.1136/bmjopen-2025-101776","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore health professionals' perspectives on the barriers and enablers of healthcare access for older adults in Cambodia.</p><p><strong>Design: </strong>A qualitative study based on semi-structured interviews conducted in Khmer, recorded, transcribed, translated into English and analysed using an abductive thematic analysis approach.</p><p><strong>Setting: </strong>Phnom Penh, Cambodia.</p><p><strong>Participants: </strong>A purposive sample of 11 health professionals serving in diverse roles and sectors participated in the study.</p><p><strong>Results: </strong>Three key barriers emerged: (1) institutional barriers, (2) patient-specific access barriers and (3) communication barriers. However, four key enablers were also identified: (1) supportive healthcare environment, (2) reaching out to improve access to health services, (3) peer and community engagement and (4) government direct support to access healthcare. Despite previous policy efforts, gaps in the implementation of healthcare services for older adults persist across all health facilities. Health professionals identified that improving healthcare access for older adults in Cambodia requires a multifaceted strategy involving proactive outreach, health promotion, financial assistance and stronger community and family support.</p><p><strong>Conclusion: </strong>Effective policy implementation requires collaboration among stakeholders and the active involvement of older adults in programme design to enhance dignity and well-being in Cambodia's ageing population.</p>","PeriodicalId":9158,"journal":{"name":"BMJ Open","volume":"15 9","pages":"e101776"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496091/pdf/","citationCount":"0","resultStr":"{\"title\":\"Barriers and enablers to healthcare access for older adults in Cambodia: perspectives of healthcare professionals - a qualitative study.\",\"authors\":\"Khin Thiri Maung, Socheata Phou, Monica Hunsberger, Ailiana Santosa, Nawi Ng, Heng Sopheab, Chhorvann Chhea, Malin Eriksson\",\"doi\":\"10.1136/bmjopen-2025-101776\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore health professionals' perspectives on the barriers and enablers of healthcare access for older adults in Cambodia.</p><p><strong>Design: </strong>A qualitative study based on semi-structured interviews conducted in Khmer, recorded, transcribed, translated into English and analysed using an abductive thematic analysis approach.</p><p><strong>Setting: </strong>Phnom Penh, Cambodia.</p><p><strong>Participants: </strong>A purposive sample of 11 health professionals serving in diverse roles and sectors participated in the study.</p><p><strong>Results: </strong>Three key barriers emerged: (1) institutional barriers, (2) patient-specific access barriers and (3) communication barriers. However, four key enablers were also identified: (1) supportive healthcare environment, (2) reaching out to improve access to health services, (3) peer and community engagement and (4) government direct support to access healthcare. Despite previous policy efforts, gaps in the implementation of healthcare services for older adults persist across all health facilities. Health professionals identified that improving healthcare access for older adults in Cambodia requires a multifaceted strategy involving proactive outreach, health promotion, financial assistance and stronger community and family support.</p><p><strong>Conclusion: </strong>Effective policy implementation requires collaboration among stakeholders and the active involvement of older adults in programme design to enhance dignity and well-being in Cambodia's ageing population.</p>\",\"PeriodicalId\":9158,\"journal\":{\"name\":\"BMJ Open\",\"volume\":\"15 9\",\"pages\":\"e101776\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496091/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Open\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/bmjopen-2025-101776\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjopen-2025-101776","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Barriers and enablers to healthcare access for older adults in Cambodia: perspectives of healthcare professionals - a qualitative study.
Objective: To explore health professionals' perspectives on the barriers and enablers of healthcare access for older adults in Cambodia.
Design: A qualitative study based on semi-structured interviews conducted in Khmer, recorded, transcribed, translated into English and analysed using an abductive thematic analysis approach.
Setting: Phnom Penh, Cambodia.
Participants: A purposive sample of 11 health professionals serving in diverse roles and sectors participated in the study.
Results: Three key barriers emerged: (1) institutional barriers, (2) patient-specific access barriers and (3) communication barriers. However, four key enablers were also identified: (1) supportive healthcare environment, (2) reaching out to improve access to health services, (3) peer and community engagement and (4) government direct support to access healthcare. Despite previous policy efforts, gaps in the implementation of healthcare services for older adults persist across all health facilities. Health professionals identified that improving healthcare access for older adults in Cambodia requires a multifaceted strategy involving proactive outreach, health promotion, financial assistance and stronger community and family support.
Conclusion: Effective policy implementation requires collaboration among stakeholders and the active involvement of older adults in programme design to enhance dignity and well-being in Cambodia's ageing population.
期刊介绍：
BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
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