Factors influencing healthcare choices by the elderly in India: role of social interactions

2017 ◽  
Vol 44 (9) ◽  
pp. 1231-1251 ◽  
Author(s):  
Sharmistha Self ◽  
Subhasree Basuroy
Keyword(s):  
Social Interactions ◽  
Elderly Population ◽  
Social Activity ◽  
The Elderly ◽  
Quality Of Healthcare ◽  
Cross Sectional ◽  
Content Type ◽  
Southern States ◽  
Practical Implications

Purpose The primary objective of this paper is to identify and analyze factors that influence choice and quality of healthcare of the elderly population in two northern and two southern states in India. The purpose of this paper is to look beyond the obvious factors that influence choice and therefore the quality of healthcare and seek to find whether there are some additional indirect factors that also influence choice and quality of healthcare. Design/methodology/approach This paper utilizes data from the Longitudinal Aging Study in India pilot project, which was a cross-sectional survey of men and women aged 45 and over focusing on two northern states (Punjab and Rajasthan) and two southern states (Kerala and Karnataka). In this paper the authors carry out a Probit analysis to estimate the factors that influence the elderly’s choice of healthcare. Findings The authors find that social activity via different types of social interactions outside the home and access to a phone (which is one of the cheapest and most commonly used methods of communication used by people in India) are statistically significant in influencing better quality of healthcare for the elderly. Moreover, gender-segregated results suggest that social activity is particularly important for elderly females. Relative price of healthcare is also an important determinant of the quality of healthcare sought. The authors also find some consistent regional influences on healthcare choices by the elderly. Research limitations/implications The main limitation is the data itself which is cross-sectional in nature. However, as further rounds of survey are conducted the authors hope to be able to build on the results of this paper using a longitudinal approach. A second limitation is the lack of variables available for carrying out an instrumental variables analysis. The results imply that elderly males and females are influenced by different things when it comes to healthcare choices. Thus for policy to be effective, the government needs to pursue avenues that would be most likely to succeed. Practical implications One of the most important practical implications of this research is the understanding that informal channels of knowledge transmission are important especially for the elderly in India. Traditional methods of knowledge transmission such as education, media, and income are less likely to be effective in a country where majority of the people are illiterate and poor. Social interactions appear to be most effective in influencing healthcare choices of elderly females. Social implications The most obvious social implications of this paper are the importance of social interactions via social activities outside the home and ability for social communication via access to a phone for the elderly population in India to make better healthcare choices and therefore receive better healthcare. Originality/value The literature on elderly healthcare is limited when it comes to developing countries. What makes matters worse for India is that up until recently there have been no comprehensive efforts to collect reliable data on the elderly population in India. As a result there is extremely limited availability of policy-relevant research dedicated to issues relating to the older population. Most of the existing literature looks at self-reported health and healthcare status or utilization. This paper would be among the first to address factors influencing quality of healthcare received by the elderly population in India.

scholarly journals HUBUNGAN INTERAKSI SOSIAL TERHADAP TINGKAT KESEPIANDANKUALITAS HIDUP PADA LANSIA DI UPTD GRIYA WERDHA JAMBANGAN SURABAYA

2020 ◽  
Vol 13 (2) ◽  
Author(s):  
Astrida Budiarti
Keyword(s):  
Quality Of Life ◽  
Social Interaction ◽  
Social Interactions ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Cross Sectional ◽  
Regular Family ◽  
Relationship Of

ABSTRAK Masalah pada lansia yaitu terjadi penurunan interaksi sosial karena faktor kesehatan maupun kehilangan pasangan dan kunjungan keluarga yang jarang sehingga menimbulkan perasaan kesepian dan penurunan kualitas hidup pada lansia. Penelitian ini bertujuan untuk mengetahui hubungan interaksi sosial terhadap tingkat kesepian dan kualitas hidup lansia di UPTD Griya Werdha Jambangan Surabaya. Desain penelitian ini observasional analitik dengan pendekatan cross sectional. Sampel menggunakan Simple Random Sampling sebanyak 77 lansia di UPTD Griya Werdha Jambangan Surabaya. Variabel independen dalam penelitian ini adalah interaksi sosial yang diukur dengan instrumen kuesioner terstruktur. Variabel dependen dalam penelitian ini adalah tingkat kesepian yang diukur dengan instrumen kuesioner UCLA Loneliness Version 3 dan kualitas hidup yang diukur dengan instrumen kuesionerWHOQOL-BREF. Analisis data menggunakan uji Spearman rho ρ=0,05.  Hasil penelitian ini menunjukkan bahwa terdapat hubungan interaksi sosial terhadap tingkat kesepian lansia dengan ρ = 0.001 (ρ≤0.05) dan terdapat hubungan interaksi sosial terhadap kualitas hidup lansia dengan ρ = 0.001 (ρ≤0.05). Implikasi dari penelitian ini yaitu interaksi sosial berperan penting dalam mengurangi tingkat kesepian dan meningkatkan kualitas hidup lansia, sehingga perlu adanya pendampingan dalam kegiatan kelompok kecil dan kunjungan keluarga yang rutin. Kata Kunci :Lansia, Interaksi Sosial. Kesepian, Kualitas Hidup   ABSTRACT The problem in the elderly is that there is a decrease in social interaction due to health factors and loss of spouses and rare family visits, giving rise to feelings of loneliness and decreased quality of life in the elderly. This study aims to determine the relationship of social interactions to the level of loneliness and quality of life of the elderly in the UPTD Griya Werdha Jambangan Surabaya. The study design was observational analytic with a cross sectional approach. The sample used Simple Random Sampling as many as 77 elderly at the Griya Werdha UPTD Surabaya. The independent variable in this study is social interaction measured by a structured questionnaire instrument. The dependent variable in this study was the level of loneliness measured by the UCLA Loneliness Version 3 questionnaire instrument and quality of life as measured by the WHOQOL-BREF questionnaire. Data analysis using the Spearman rho test ρ = 0.05. The results of this study indicate that there is a relationship of social interaction to the loneliness level of the elderly with ρ = 0.001 (ρ≤0.05) and there is a relationship of social interaction with the quality of life of the elderly with ρ = 0.001 (ρ≤0.05). The implication of this study is that social interaction plays an important role in reducing the level of loneliness and improving the quality of life of the elderly, so that there is a need for assistance in small group activities and regular family visits. Keywords: Elderly, Social interactions. Loneliness, Quality of life ABSTRAK Masalah pada lansia yaitu terjadi penurunan interaksi sosial karena faktor kesehatan maupun kehilangan pasangan dan kunjungan keluarga yang jarang sehingga menimbulkan perasaan kesepian dan penurunan kualitas hidup pada lansia. Penelitian ini bertujuan untuk mengetahui hubungan interaksi sosial terhadap tingkat kesepian dan kualitas hidup lansia di UPTD Griya Werdha Jambangan Surabaya. Desain penelitian ini observasional analitik dengan pendekatan cross sectional. Sampel menggunakan Simple Random Sampling sebanyak 77 lansia di UPTD Griya Werdha Jambangan Surabaya. Variabel independen dalam penelitian ini adalah interaksi sosial yang diukur dengan instrumen kuesioner terstruktur. Variabel dependen dalam penelitian ini adalah tingkat kesepian yang diukur dengan instrumen kuesioner UCLA Loneliness Version 3 dan kualitas hidup yang diukur dengan instrumen kuesionerWHOQOL-BREF. Analisis data menggunakan uji Spearman rho ρ=0,05.  Hasil penelitian ini menunjukkan bahwa terdapat hubungan interaksi sosial terhadap tingkat kesepian lansia dengan ρ = 0.001 (ρ≤0.05) dan terdapat hubungan interaksi sosial terhadap kualitas hidup lansia dengan ρ = 0.001 (ρ≤0.05). Implikasi dari penelitian ini yaitu interaksi sosial berperan penting dalam mengurangi tingkat kesepian dan meningkatkan kualitas hidup lansia, sehingga perlu adanya pendampingan dalam kegiatan kelompok kecil dan kunjungan keluarga yang rutin. Kata Kunci :Lansia, Interaksi Sosial. Kesepian, Kualitas Hidup   ABSTRACT The problem in the elderly is that there is a decrease in social interaction due to health factors and loss of spouses and rare family visits, giving rise to feelings of loneliness and decreased quality of life in the elderly. This study aims to determine the relationship of social interactions to the level of loneliness and quality of life of the elderly in the UPTD Griya Werdha Jambangan Surabaya. The study design was observational analytic with a cross sectional approach. The sample used Simple Random Sampling as many as 77 elderly at the Griya Werdha UPTD Surabaya. The independent variable in this study is social interaction measured by a structured questionnaire instrument. The dependent variable in this study was the level of loneliness measured by the UCLA Loneliness Version 3 questionnaire instrument and quality of life as measured by the WHOQOL-BREF questionnaire. Data analysis using the Spearman rho test ρ = 0.05. The results of this study indicate that there is a relationship of social interaction to the loneliness level of the elderly with ρ = 0.001 (ρ≤0.05) and there is a relationship of social interaction with the quality of life of the elderly with ρ = 0.001 (ρ≤0.05). The implication of this study is that social interaction plays an important role in reducing the level of loneliness and improving the quality of life of the elderly, so that there is a need for assistance in small group activities and regular family visits. Keywords: Elderly, Social interactions. Loneliness, Quality of life

scholarly journals Quality of life among elderly population in an urban slum of Tirupati city

2019 ◽  
Vol 6 (6) ◽  
pp. 2430
Author(s):  
Visweswara Rao Guthi ◽  
Tirupati Venkata Devi Prathyusha ◽  
Nagaraj Kondagunta ◽  
Nakkala Kavyasree ◽  
Chimmata Kavitha ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Healthy Aging ◽  
Elderly Population ◽  
Well Being ◽  
The Elderly ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Study Population

Background: Healthy aging is a process of developing and maintaining the functional ability that enables well- being in older age. Objective of the present study is to assess the quality of life among elderly population using WHOQOL-BREF scale and to determine the association between socio demographic factors and quality of life.Methods: Community based cross- sectional study was conducted in the urban field practice areas of SVIMS-Sri Padmavathi Medical College for women, Tirupati for a period of one month (February 2019 to March 2019). Study population were Elderly of age 60 years and above. Total 60 elderly were included in the study. Quality of life was assessed using WHOQOL-BREF questionnaire.Results: Most of the study population was in the age group of 60-64 years, Most of them were females (71.7%). More than one third were illiterates (36.7%), 30% were studied up to primary school. 93.3% of study population were suffered from some form of illness. Mean total transformed score was high among ≥70 years compared to <70 years, Males were showing high mean total transformed score compared to females, literates were showing high score and persons with illness were showing high scores and persons without illness.Conclusions: It is concluded from this study that most of the elderly population are suffered from some form of illness. Overall quality of life is good among elderly within 70 years of age, males, literates and who are in living as married compared to their counter parts.

scholarly journals Evaluation of the Criteria for Quality of Life of Elderly Health Care Centers in Tehran Province, Iran

2015 ◽  
Vol 8 (7) ◽  
pp. 68 ◽  
Author(s):  
Fereshteh Farzianpour ◽  
Mohammad Arab ◽  
Abbas Rahimi Foroushani ◽  
Esmaeil Morad Zali Mehran
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Elderly Population ◽  
Short Form ◽  
Age Distribution ◽  
The Elderly ◽  
Financial Problems ◽  
Cross Sectional ◽  
The Mean

<p><strong>BACKGROUND &amp; OBJECTIVES:</strong> The objective of this study was to evaluate the elderly quality of life of people covered by the healthcare centers in Tehran and its influencing demographic and background factors.</p><p><strong>METHOD:</strong> This is a cross-sectional study of quality of life of the elderly population covered by healthcare centers and bases in Tehran, as well as the influential background and demographic factors. Sampling was performed using simple random stratified sampling proportionate to the size of strata. Data were collected using the Iranian version of the standard questionnaire Short Form Health Survey (SF-36).</p><p><strong>RESULTS:</strong> According to the findings, 240 (60%) of the cases were men and 160 (40%) were women. Regarding age distribution, 76.3% fell in the 60-69 age range and 87.2% were illiterate. 18% of the elderly stated that they have financial problems and 19.5% did not express any financial problems. While studying the relationship between financial status and health status with the mean scores of quality of life, statistically significant differences were observed in all domains (p=0.032&lt;0.001). The mean quality of life was lower in women compared to men.<strong> </strong></p><p><strong>CONCLUSIONS:</strong> The findings of the present study indicate that the health-related quality of life in the elderly population is influenced by their health status and demographic and background variables.</p>

scholarly journals Quality of life and associated factors amongst older adults in a remote community, Nepal

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Saurav Chandra Acharya Samadarshi ◽  
Pimsurang Taechaboonsermsak ◽  
Mathuros Tipayamongkholgul ◽  
Korravarn Yodmai
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
The Elderly ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Remote Community ◽  
Content Type ◽  
The Government

PurposeThe purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.Design/methodology/approachA cross-sectional study was conducted in a remote community in Nepal. A total of 671 older adults aged 60 years were enrolled in the study. QOL was measured by WHOQOL-OLD questionnaire. Data were analyzed using multiple logistic regression.FindingsMost participants were female (53.0%), illiterate (70.6%), married (64.2%) and living with family (59.3%). Among participants, 82.4% had fair QOL, and the autonomy domain received the lowest score (average = 10.98). After adjusting the model, the elderly aged <70 years had 11.07 times better QOL (aOR = 11.070; 95% CI = 2.546–48.123), elderly with high sufficient income had 2.73 times better QOL (aOR = 2.738; 95% CI = 1.183–6.337) and elderly free from depression had 9.45 times better QOL (aOR = 9.452; 95% CI = 3.466–25.773) compared to their counterparts. The elderly receiving social support had 9.97 times better QOL than those who did not (aOR = 9.976; 95% CI = 3.152–31.574), and those able to afford healthcare services had 4.69 times better QOL than those who could not afford it (aOR = 4.694; 95% CI = 1.046–21.063).Originality/valueThe five predictors – age, income sufficiency, depression, social support and healthcare service affordability – were found to significantly affect QOL. This study suggests special care strategies for vulnerable older adults addressing the issues that affect geriatric depression. This article provides relevant information to the government to consider increment of income, encourage family and community for social support and make health services affordable for older adults.

scholarly journals How to be aware of Cognitive Impairments? Descriptive Studies Using HVLT, CDT and AD8 As Screening Tools for Dementia in Older Adults

2019 ◽  
Author(s):  
Raden Siti Maryam ◽  
Junaiti Sahar ◽  
Kuntjoro Harimurti
Keyword(s):  
Risk Factors ◽  
Elderly Population ◽  
Screening Tool ◽  
Cognitive Impairments ◽  
Community Health Center ◽  
The Elderly ◽  
Screening Tools ◽  
Cross Sectional ◽  
Dementia Screening

Background: The increasing incidence of dementia in Indonesia’s elderly population is creating a health problem that affects sufferers’ quality of life, as well as family and wider community life. The elderly who suffer from dementia have cognitive impairment and other disabilities that interfere with daily activities. Animportanttoolforpreventing dementia is screening. Objective: This study describes dementia screening tools including HVLT, CDT and AD, each designed for elderly with risk factors of dementia. Methods: Descriptive study with a cross-sectional approach was used. The population waselderlywholiveincapitalregionofJakarta.Asample354elderliesaged60years or more were recruited and screened through multistage random sampling. Result:The results of screening dementia using HVLT were 56.5 % very likely to suffer dementia; 92.1 % (CDT) and 56.2 % (AD8) were suffered cognitive impairments. Conclusions: Community Health Center could be considered to be used screening tool according to elderly conditions to diagnose dementia early. Besides that, elderly individuals and their family could enhance their awareness about prevention of dementia by identifying existing risk factors.  

Improving service quality in healthcare organisations through geomarketing statistical tools

2017 ◽  
Vol 29 (5) ◽  
pp. 690-704 ◽  
Author(s):  
Mauro Cavallone ◽  
Francesca Magno ◽  
Alberto Zucchi
Keyword(s):  
Design Methodology ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Service Planning ◽  
Patient Needs ◽  
Health Service Planning ◽  
Content Type ◽  
Quality In Healthcare ◽  
Practical Implications

Purpose The purpose of this paper is to demonstrate how geomarketing statical tools (notably, gravitational models) can support healthcare organisations to improve the quality of their services. Design/methodology/approach Geomarketing tools were applied to the analysis of data (91,478 observations) concerning the performance of nuclear magnetic resonance. Findings Geomarketing models can support and enhance the planning of service provisions of healthcare organisations. Drawing the planning actions on the patient needs and actual behaviours allow the healthcare organisations to obtain better market performance. Practical implications The results support the health service planning activities related to covering the so-called “offer gaps”. Originality/value This is the first study to apply geomarketing to improve the quality of healthcare services.

scholarly journals Quality of life and low self-esteem: an alarming phase among elderly

2021 ◽  
Vol 8 (9) ◽  
pp. 4385
Author(s):  
Kavita Verma ◽  
Priyanka Setia ◽  
Priyanka Bhardwaj ◽  
Preeti Rawat ◽  
Preeti Sharma
Keyword(s):  
Quality Of Life ◽  
Elderly Population ◽  
Demographic Variable ◽  
Sampling Technique ◽  
The Elderly ◽  
Self Esteem ◽  
Structured Interview ◽  
Health Problems ◽  
Cross Sectional

Background: Old age or elderly is the final stage of the normal life span. The elderly population is facing many health problems such as physical, mental, psychological and social etc. Factors like loneliness, low self-esteem, social isolation, quality of life and several others negatively affect elderly population and increase the risk of various health problems in elderly people.Methods: A cross sectional study was conducted, in which 200 elderly from Sirmour participated and the subjects were selected using total enumeration sampling technique. For the data collection the Semi-structured interview schedule, WHO brief-26 QoL assessment scale and Rosenberg self-esteem scale (10-items) were used and data was analyzed using descriptive and inferential statistics in SPSS version-23.Results: Present study shows that religion, education, occupation, monthly income have a very strong significant association at 0.05 level of significance with WHO bref-26 scale. Rosenberg self-esteem scale shows 165 (81.7%) of elderly have high self-esteem whereas 35 (17.3%) of them have low self-esteem. And no significant association was found between the self-esteem and demographic variable.Conclusions: Indicates that levels of QoL between elderly are moderate and many demographic, social and health factors are correlated with QoL. Also, no significant association was found between Rosenberg self-esteem scale with demographic variable. 

PHYSICAL, SOCIAL ACTIVITIES AND QUALITY OF LIFE OF THE ELDERLY LIVING IN TRUONG AN WARD, HUE CITY IN 2016

2019 ◽  
pp. 55-62
Author(s):  
Vuong Diem Khanh Doan ◽  
Ngoc Minh Chau Ho ◽  
Thi Van Ngo ◽  
Thi Bao Nga Phan ◽  
Thi Hong Phan Nguyen
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Social Activities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Living

Background: Vietnam is entering the stage of aging population; as a result, the quality of life (QOL) of the elderly is really a matter of concern. There is a great deal of research on the quality of life of the elderly while Vietnam witnesses a lack of research on this topic, especially on how physical and social activities have impact on QOL of the elderly. Objectives: (1) To describe the situation of participation in physical, social activities and QOL of the elderly residing in Truong An Ward, Hue city. (2) To examine the association between physical, social activities and QOL among participants. Methodology: This study used cross-sectional study design. A total sample of 420 people aged 60 and above in Truong An Ward, Hue city were interviewd. The SF36 was used to measure the QOL of participants. Results: Percentage of the elderly taking part in physical activity were 66%. 49% reported having the habit of taking part in social activities. The majority of the elderly get their QOL level in three health fields, namely physical, mental and general health at above average. (56.0, 60.7 and 60.8 respectively). There were significant associations between physical activities, social activities and QOL among participants. Conclusion: The percentage of the elderly taking part in physical and social activities were still low. Besides, QOL of the elderly at the research location was not really high. It’s important to encourage the elderly taking part in physical and social activities to improve their quality of life. Key words: Physical activities, social activities, QOL, the elderly

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