Volume 18, Issue 6 (November - December 2019)
Payesh 2019, 18(6): 513-525 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Na'emani F, Fayaz-Bakhsh A, Sohrabi Z, Zali M E. Service required for elderly receiving home care: a situational analysis. Payesh 2019; 18 (6) :513-525
URL: http://payeshjournal.ir/article-1-1220-en.html
URL: http://payeshjournal.ir/article-1-1220-en.html
1- Academic Center for Education, Culture and Research (ACECR), Tehran, Iran
2- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
2- School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Abstract: (4359 Views)
Objective (s): The elderly people consume much of the home health care. Therefore how to organize home care services and identify the services needed is important in order to manage and control resources. The purpose of this study was to describe home health services status in Tehran, Iran.
Methods: A sample of elderly people receiving home health care during April 2017 to September 2017 was studied. The data was collected using a checklist. Data was entered into SPSS V.19 and analyzed by descriptive statistics.
Results: In all 278 elderly people were studied. Of these 59.4% were female and 65.2% were married and their mean age was 81 ± 2.5 years. The results showed that the most frequent services that needed were nursing service (55.4%), physician visit (17.0%) physiotherapy (15.0%). Medical services had a significant statistical relationship with the age and marital status of the elderly but non-medical services (physiotherapy, nursing and laboratory) had a significant relationship with gender, age, marital status and education (p≤0.05).
Conclusion: The findings showed that elderly people needed a variety of services. Also there were differences in the use of home health care among the elderly by age, gender, and other demographic factors. Overall, it is necessary for health care providers to understand the growth of the elderly population in the country and their needs in the coming years in order to plan appropriate programs and actions.
Methods: A sample of elderly people receiving home health care during April 2017 to September 2017 was studied. The data was collected using a checklist. Data was entered into SPSS V.19 and analyzed by descriptive statistics.
Results: In all 278 elderly people were studied. Of these 59.4% were female and 65.2% were married and their mean age was 81 ± 2.5 years. The results showed that the most frequent services that needed were nursing service (55.4%), physician visit (17.0%) physiotherapy (15.0%). Medical services had a significant statistical relationship with the age and marital status of the elderly but non-medical services (physiotherapy, nursing and laboratory) had a significant relationship with gender, age, marital status and education (p≤0.05).
Conclusion: The findings showed that elderly people needed a variety of services. Also there were differences in the use of home health care among the elderly by age, gender, and other demographic factors. Overall, it is necessary for health care providers to understand the growth of the elderly population in the country and their needs in the coming years in order to plan appropriate programs and actions.
type of study: Descriptive |
Received: 2019/04/24 | Accepted: 2019/12/15 | ePublished ahead of print: 2019/12/31 | Published: 2020/01/18
Received: 2019/04/24 | Accepted: 2019/12/15 | ePublished ahead of print: 2019/12/31 | Published: 2020/01/18
References
1. Kalache A, Aboderin I, Hoskins I. Compression of morbidity and active ageing: key priorities for public health policy in the 21st century. Bulletin of the World Health Organization 2002;80:243-4
2. Barghi Irani Z, Aliakbari Dehkordi M, Bagian Kulahmarz M, The effactivness of cognitive behavior therapy on elderlys sleep and memory state. Journal of Aging Psychology 2015;1:19-30
3. World Health Organization. facts on ageing and the life course 2009 [Avalible at: https://www.who.int/ageing/en/ ]
4. World Health Organization. Multisectoral action for a life course approach to healthy ageing: draft global strategy and plan of action on ageing and health. World Health Organization: Geneva, Switzerland 2016:1-37
5. Hosseini SR, Moslehi A, Hamidian SM, Taghian SA. The relation between chronic diseases and disability in elderly of Amirkola. Iranian Journal of Ageing 2014;9:80-7
6. Secretariat U. World population prospects: the 2006 revision. PLACE: the Population Division of the Department of Economic and Social Affairs of the UN Secretariat [http://earthtrendswri org/text/population-health/variable-379 html] 2007
7. Yahyavi Dizaj J, Emamgholipour S, Pourreza A, Nommani F, Molemi S. Effect of Aging on Catastrophic Health Expenditure in Iran During the Period 2007-2016. Journal of School of Public Health and Institute of Public Health Research 2018;16:216-27 [in Persian]
8. Mirzaie M, Darabi S. Population aging in Iran and rising health care costs. Iranian Journal of Ageing 2017;12:156-69[in Persian] [DOI:10.21859/sija-1202156]
9. Alipour V. An analysis of the end of life medical expenditures with TTD approach: two part model and heckman sample selection: PhD thesis]. Tehran: Tehran University of Medical Sciences; 2016
10. Prakash R, Choudhary SK, Singh US. A study of morbidity pattern among geriatric population in an urban area of Udaipur, Rajasthan. Indian Journal Community Medicine 2004 1;29 :35-40
11. Woo E-k, Han C, Jo SA, Park MK, Kim S, Kim E, et al. Morbidity and related factors among elderly people in South Korea: results from the Ansan Geriatric (AGE) cohort study. BMC Public Health 2007;7:1-10 [DOI:10.1186/1471-2458-7-10]
12. Habibi A, Savadpoor MT, Molaei B, Samshiri M, Ghorbani M. Survey of physical functioning and prevalence of chronic illnesses among the elderly people. Iranian Journal of Ageing 2009;4:68-78 [in Persian]
13. Alizadeh M, Sharifi F, Mohamadiazar M, Nazari N. Analytical performance of administrations in charge of ageing program in Iran. Iranian Journal of Diabetes and Metabolism 2013;13:74-81
14. Mohamadi F, Dabaghi F, Yadavar Nikravesh M. Facilitating and Hindering Factors in Family Care Giving Process on Iranian Frail Elderly: Female Caregivers Experiences. Iranian Journal of Ageing 2008 ;2:445-53
15. Son KY, Park SM, Lee J, Kim CY. Difference in adherence to and influencing factors of a healthy lifestyle between middle aged and elderly people in K orea: A multilevel analysis. Geriatrics & Gerontology International 2015;15:778-88 [DOI:10.1111/ggi.12335]
16. vel Szic KS, Declerck K, Vidaković M, Berghe WV. From inflammaging to healthy aging by dietary lifestyle choices: is epigenetics the key to personalized nutrition? Clinical Epigenetics 2015;7:33 [DOI:10.1186/s13148-015-0068-2]
17. Ataie Z, Allahverdi A, Dehnoalian A, Orooji A. The Relationship between Lifestyle and General Health among Elderly People in Neyshabur. Iran Journal of Nursing 2018;31:10-9 [DOI:10.29252/ijn.31.111.10]
18. Sh S, Danesh P, Baghery H. The Comparison of Familial Social Capitals With and Without the Elderly. Iranian Journal of Ageing 2018;13:222-35 [DOI:10.32598/sija.13.2.222]
19. Orang S, Hashemi Razini H, Ramshini M, Orang T. Investigating the Meaning of Life and Psychological Well-being, in Youth, Adults, and Elderly (A Comparative Study of Three Age Groups). Iranian Journal of Ageing 2018 15;13:182-97 [DOI:10.32598/sija.13.2.182]
20. Nikpuor B, Ayinparast A, Faraji F, Care at home. Teb va Tazkiye 2004;12:39-42 [in Persian] [DOI:10.1176/pn.39.8.0012]
21. Walker M, Aceng E, Tindyebwa D, An Assessment of Home Based Care Programs in Uganda: Their Strengths and Weaknesses. Harvard Centre for population and Development studies Report, 2003
https://pdfs.semanticscholar.org/070d/8a376f6c4316a359ccd049947588173074a1.pdf
22. Landers S, Madigan E, Leff B, Rosati RJ, McCann BA, Hornbake R, et al. The future of home health care: a strategic framework for optimizing value. Home Health Care Management & Practice 2016;28:262-78 [DOI:10.1177/1084822316666368]
23. Coyte PC, McKeever P. Home care in Canada: Passing the buck. Canadian Journal of Nursing Research Archive 2016;33:11-25
24. Zarei A. Development of home care services. Journal of Hospital 2006;5:28-30
25. Fu YY, Chui EWT, Kan WS, Ko L. Improving primary level home and community care services for older people: The case of Hong Kong. International Journal of Social Welfare 2018;27:52-61 [DOI:10.1111/ijsw.12271]
26. Fallahi K M, Effectiveness of Psychiatric Nursing Home Care Services for Psychiatric Status in Schizophrenics 2007; 3:77-81
27. Barati A, Janati A, Tourani S, Khalesi N, Gholizadeh M. Iranian Professional's Perception about Advantages of Developing Home Health Care System in Iran . Hakim Health System ResearchJournal 2010; 13 :71-79
28. Zielinski A, Halling A. Association between age, gender and multimorbidity level and receiving home health care: a population-based Swedish study. BMC Research Notes 2015;8:714 [DOI:10.1186/s13104-015-1699-2]
29. Forbes DA, Jansen SL, Markle-Reid M, Hawranik P, Morgan D, Henderson S, et al. Gender differences in use and availability of home and community-based services for people with dementia. CJNR (Canadian Journal of Nursing Research) 2008;40:38-59
30. Borhaninejad V, NaghibzadehTahami A, Nabavi H, Rashedi V, Yazdi-Feyzabadi V. The utilization of health services and its influences among elderly people in Kerman-2014. Journal of North Khorasan University of Medical Science 2015;7:229-40 [DOI:10.29252/jnkums.7.2.229]
31. Odzakovic E, Hydén L-C, Festin K, Kullberg A. People diagnosed with dementia in Sweden: What type of home care services and housing are they granted? A cross-sectional study. Scandinavian journal of public health 2019;47:229-39 [DOI:10.1177/1403494818755600]
32. Park JM. Health status and health services utilization in elderly Koreans. International Journal for Equity in Health. 2014;13:73-83 [DOI:10.1186/s12939-014-0073-7]
33. Steinhardt LC, Waters H, Rao KD, Naeem AJ, Hansen P, Peters DH. The effect of wealth status on care seeking and health expenditures in Afghanistan. Health Policy and Planning 2008;24:1-17 [DOI:10.1093/heapol/czn043]
34. Nooraiee Motlagh S, Saber Mahani A, Barooni M, Asadi Lari M, Vaez Mahdavi MR, Hadian M. Determining Factors related to health services utilization. Razi Journal of Medical Sciences 2015;21:61-72
35. Borji M, Tarjoman A, Otaghi M, Salimi E, Naseri A. Health Literacy Level and its Related Factors among the Elderlies in Ilam in 2015. Iran Journal of Nursing 2017;30:33-43 [DOI:10.29252/ijn.30.108.33]
36. Soto Mas F, Jacobson HE. Advancing health literacy among Hispanic immigrants: the intersection between education and health. Health Promotion Practice 2019;20:251-7 [DOI:10.1177/1524839918761865]
37. Rouzbahani R, Dehghani M. The Relationship between Marital Status and General Health among the Students of Isfahan University of Medical Sciences, Journal Of Isfahan Medical Schoo 2019;36:32-42
38. Tournier I, Dommes A, Cavallo V. Review of safety and mobility issues among older pedestrians. Accident Analysis & Prevention 2016;91:24-35 [DOI:10.1016/j.aap.2016.02.031]
39. Nodehi Moghadam A, Ehsani Fard F. Prevalence of Physical Impairment Among the Elderlly Persons of the Tehran City in 1385. Iranian Journal of Ageing 2007;1:125-31
40. Seniori Costantini A, Gallo F, Pega F, Saracci R, Veerus P, West R. Population health and status of epidemiology in Western European, Balkan and Baltic countries. International Journal of Epidemiology 2015;44:300-23 [DOI:10.1093/ije/dyu256]
41. Eibich P. I, Demuth I Fau-Wagner GG, Wagner GG. Associations between Neighborhood Characteristics, Well-Being and Health Vary Over the Life Course 2016:1423-0003 [DOI:10.1159/000438700]
42. Gholami M, Nasiripoor AA, Maleki MR. The Relation Between Social Determinant of Health with Access to Health Services in Gonbad kavoos. Community Health (Salāmat-i ijtimāī) 2016;3:54-65
43. Guendelman S, Angulo V, Oman D. Access to health care for children and adolescents in working poor families: recent findings from California. Medical Care 2005;43:68-78
44. Alizadeh M, Mathews RM, Hossain Z. Assessing mental health status and utilization of aged care services among Iranian elderly migrants in Australia. Iranian. Journal of Diabetes and Metabolism 2013;13:38-49
45. González HM, Haan MN, Hinton L. Acculturation and the prevalence of depression in older Mexican Americans: baseline results of the Sacramento Area Latino Study on Aging. Journal of the American geriatrics society 2001;49:948-53 [DOI:10.1046/j.1532-5415.2001.49186.x]
46. AIHW, Benham C, Gibson D, Holmes B, Rowland D. Independence in ageing: the social and financial circumstances of older overseas-born Australians. Canberra: AIHW; 2000.[Avalable at:https://www.aihw.gov.au/reports/aged-care/independence-in-ageing-overseas-born-australians/contents/table-of-contents]
47. Alizadeh M, Mathews RM, Hossain Z. Assessing mental health status and utilization of aged care services among Iranian elderly migrants in Australia. Iranian Journal of Diabetes and Lipid Disorders 2013;13:38-49
48. Mogobe KD, Shaibu S, Matshediso E, Sabone M, Ntsayagae E, Nicholas PK, et al. Language and culture in health literacy for people living with HIV: perspectives of health care providers and professional care team members. AIDS research and treatment. 2016;2016. [Avalable at:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909894/] [DOI:10.1155/2016/5015707]
49. Partida Y. Language and health care. Diabetes Spectrum 2012;25:19-22 [DOI:10.2337/diaspect.25.1.19]
50. Squires A. Strategies for overcoming language barriers in healthcare. Nursing Management 2018;49:20-7 [DOI:10.1097/01.NUMA.0000531166.24481.15]
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |