Comparison of Self and Health Professionals' Ratings of the Health of Community-Based Elderly

1987 ◽  
Vol 25 (1) ◽  
pp. 11-25 ◽  
Author(s):  
Cindy C. Wilson ◽  
F. Ellen Netting
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Program Planning ◽  
The Elderly ◽  
Elderly Persons ◽  
Care Needs ◽  
Community Based ◽  
The Cost

Perceptions of 269 community-based elderly persons and eighty health-care professionals were compared for opinions related to the health-care needs of the elderly, and major barriers faced by the elderly to the utilization of health services. The data indicate a high degree of incongruence between the perceptions of the elderly and those of the professionals. Health professionals were not good predictors of the health status of the elderly, and they did not accurately predict the barriers faced by the elderly seeking health care. Congruence of responses was found only related to the cost of health services. Reasons for these differences were explored, and recommendations for future program planning were made.

Les motifs du suicide gériatrique: une étude exploratoire

2003 ◽  
Vol 22 (2) ◽  
pp. 197-205
Author(s):  
Luc Legris ◽  
Michel Préville
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Basic Needs ◽  
The Elderly ◽  
Elderly Persons ◽  
Need To Belong ◽  
Psychological Autopsy ◽  
Structured Interviews ◽  
Care System

ABSTRACTFive semi-structured interviews were conducted, using the psychological autopsy method, in order to document the causes of geriatric suicide and to describe the interaction among suicidal elderly persons, their personal and social environments, and health care professionals. The results of this study support our hypothesis that elderly persons view suicide as a means of alleviating the psychological suffering associated with the frustration they experience on account of their inability to satisfy their basic needs. Three types of basic needs that affect the suicidal tendency of elderly persons were identified: the need to self-actualize, the need to belong, and the need to feel safe. The results also show that the people who make up the social and personal environment of elderly persons have a limited role in the prevention of suicide. This is due to their unfamiliarity with the problems surrounding the fulfilment of the basic needs of the suicidal elderly. Furthermore, as revealed in the cases studied here, the intervention of the health care system has centred mainly on the use of medication as a treatment for symptoms of psychological distress. The health care system pays little attention to the dissonance associated with the frustration suicidal elderly persons experience on account of their inability to satisfy their basic needs. Finally, the outcome of this qualitative study suggests that understanding the basic needs of the elderly can be very useful in understanding geriatric suicide.

Reliable integrative assessment of health care needs in elderly persons: The INTERMED for the Elderly (IM-E)

2011 ◽  
Vol 70 (2) ◽  
pp. 169-178 ◽  
Author(s):  
Beate Wild ◽  
Sabine Lechner ◽  
Wolfgang Herzog ◽  
Imad Maatouk ◽  
Daniela Wesche ◽  
...  
Keyword(s):  
Health Care ◽  
The Elderly ◽  
Elderly Persons ◽  
Health Care Needs ◽  
Care Needs ◽  
Integrative Assessment

scholarly journals From “Academic Projectitis” to Partnership: Community Perspectives for Authentic Community Engagement in Health Professional Education

2018 ◽  
Vol 4 (1) ◽  
pp. 79-96 ◽  
Author(s):  
Cathy Kline ◽  
Wafa Asadian ◽  
William Godolphin ◽  
Scott Graham ◽  
Cheryl Hewitt ◽  
...  
Keyword(s):  
Health Care ◽  
Service Learning ◽  
Health Professional ◽  
Community Engagement ◽  
Professional Education ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Common Interest ◽  
Health Professional Education ◽  
Community Based

Health professional education (HPE) has taken a problem-based approach to community service-learning with good intentions to sensitize future health care professionals to community needs and serve the underserved. However, a growing emphasis on social responsibility and accountability has educators rethinking community engagement. Many institutions now seek to improve community participation in educational programs. Likewise, many Canadians are enthusiastic about their health care system and patients, who are “experts by lived experience,” value opportunities to “give back” and improve health care by taking an active role in the education of health professionals. We describe a community-based participatory action research project to develop a mechanism for community engagement in HPE at the University of British Columbia (UBC). In-depth interviews and a community dialogue with leaders from 18 community-based organizations working with vulnerable populations revealed the shared common interest of the community and university in the education of health professionals. Patients and community organizations have a range of expertise that can help to prepare health practitioners to work in partnership with patients, communities, and other professionals. Recommendations are presented to enhance the inclusion of community expertise in HPE by changing the way the community and university engage with each other.

Understanding the implementation and integration of e-health services

2007 ◽  
Vol 13 (1_suppl) ◽  
pp. 36-37 ◽  
Author(s):  
Frances S Mair ◽  
Carl May ◽  
Tracy Finch ◽  
Elizabeth Murray ◽  
George Anderson ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Organizational Factors ◽  
Mixed Methods Study ◽  
Health Examination ◽  
Health Technologies ◽  
Design Factors

We are conducting a multicentre, mixed methods study to examine the attitudes of health professionals to e-health in order to identify strategies to support increased uptake and utilization of e-health services. The first part of the work is a systematic literature review. After searching five electronic databases, a total of 66 review papers were identified which concerned barriers and facilitators to the implementation of e-health. Examination of the main themes from these reviews identified three major types of barriers/facilitators: (1) technology design factors, (2) health professional interactions, and (3) organizational factors. The utilization of e-health technologies by health-care professionals is complex, as demonstrated by the preliminary findings of the literature review.

scholarly journals Aging And Health In South Dakota: Who Will Provide Care?

2011 ◽  
Vol 4 (10) ◽  
Author(s):  
Diane K. Duin ◽  
DeVee Dykstra
Keyword(s):  
Health Care ◽  
South Dakota ◽  
Health Care Professionals ◽  
Work Force ◽  
The Elderly ◽  
The United States ◽  
Working Population ◽  
Care Needs ◽  
Care For The Elderly ◽  
United States Economy

<p class="MsoNormal" style="text-align: justify; margin: 0in 35.75pt 0pt 37.4pt;"><span style="font-size: 10pt;"><span style="font-family: Times New Roman;">Demographers have long been writing of an aging population.<span style="mso-spacerun: yes;">&nbsp; </span>The forthcoming demographic changes predicted include the doubling of the elderly in selected states between 1995 and 2025, and the possibility that the numbers of people over age 85 is expected to reach at least 27 million by 2050.<span style="mso-spacerun: yes;">&nbsp; </span>These changes in the population will have a major impact on many sectors of the United States economy, including health care.<span style="mso-spacerun: yes;">&nbsp; </span>The effect on health care will include changes in technology to provide needed services to the elderly, access to medications by the elderly, overall service provision to the elderly by health care organizations, as well as reimbursement for services to the elderly.<span style="mso-spacerun: yes;">&nbsp; </span>The most dramatic affect on health care is still a couple of decades away.<span style="mso-spacerun: yes;">&nbsp; </span>As a result of the demographic trends there will be an insufficient supply of health care workers, while at the same time an increase in the health care needs of the elderly. <span style="mso-spacerun: yes;">&nbsp;</span>In South Dakota the working population, those 16 to 64 years of age, is experiencing significant changes.<span style="mso-spacerun: yes;">&nbsp; </span>The 16 to 44 year old segment of the population has declined by 10.4%.<span style="mso-spacerun: yes;">&nbsp; </span>The 45 to 64 year old segment has increased by 23.5%.<span style="mso-spacerun: yes;">&nbsp; </span>These changes in the South Dakota demographics indicate that the working population is aging, while the numbers of individuals available to replace them in the work force (the replacement group) is declining.<span style="mso-spacerun: yes;">&nbsp;&nbsp; </span>The data provides an indication that there will be more elderly consuming greater amounts of health care resources and fewer health care professionals, specifically nurses, in South Dakota to provide health care for the elderly.<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span></span></p>

Assessing unmet health-care needs of the elderly in west of Iran: A case study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bakhtiar Piroozi ◽  
Farman Zahir Abdullah ◽  
Amjad Mohamadi-Bolbanabad ◽  
Hossein Safari ◽  
Mohammad Amerzadeh ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Elderly Population ◽  
The Elderly ◽  
Care Needs ◽  
Content Type ◽  
Perceived Need ◽  
Care Services ◽  
Unmet Health Care Needs

Purpose The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran). Design/methodology/approach This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services. Findings The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7% and 29.7%, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6% and 17%, respectively. Having health insurance (adjusted OR 12.08; 95% confidence interval [CI] 1.04–140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30–20.51) and being in an age group of 65–70 years (adjusted OR 7.60; CI 1.42–40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60–65 years (adjusted OR 0.41; 95% CI 0.18–0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services. Originality/value The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential.

scholarly journals A Review of Aging and the Lower Urinary Tract: The Future of Urology

2021 ◽  
Vol 25 (4) ◽  
pp. 273-284 ◽  
Author(s):  
Hisae Nishii
Keyword(s):  
Health Care ◽  
Urinary Tract ◽  
Elderly People ◽  
Health Care Professionals ◽  
Lower Urinary Tract ◽  
The Elderly ◽  
Social Characteristics ◽  
Care Needs ◽  
Lower Urinary Tract Function ◽  
Lower Urinary

Lower urinary tract symptoms (LUTS) are common among elderly people, with significant effects on individuals, caregivers, and the wider health care system. As the elderly population with multiple comorbidities is increasing, the burden of LUTS will increase. This review describes the demographic trends in the aging society, changes in lower urinary tract function with aging, and deterioration of physical and cognitive function in aging, as well as what has been done regarding geriatric urology and what urologists should do to meet the health care needs of the aging population. Frailty and dementia are unmissable factors in the evaluation of elderly patients. Numerous reports have described associations between LUTS and frailty and between LUTS and dementia. Urologists must be aware of the multiplex physical, cognitive, and social characteristics of elderly people. Maintaining a geriatric viewpoint in the diagnosis, treatment, and management of elderly individuals with LUTS will fulfill the unmet needs of elderly people. It is also essential to discuss the treatment and management goals of LUTS with patients and caregivers. Active case identification, appropriate evaluations of LUTS and comorbidities, and a multidisciplinary approach with other health-care professionals are recommended for better treatment and management.

Opportunities for Physiotherapists in Primary Health Care in Nigeria

2017 ◽  
Vol 19 (1) ◽  
Author(s):  
Ganiyu Oluwaleke Sokunbi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Delivery System ◽  
Health Care Professionals ◽  
Urban Areas ◽  
The Elderly ◽  
Primary Health Care System ◽  
Care Needs ◽  
Primary Health ◽  
Big Cities

Summary: This paper examines the concept, strength and weakness of Primary health care system (PHC) program in Nigeria, the opportunity and potential roles for physiotherapists in PHC delivery system as well as the perceived benefits of integrating physiotherapy profession into PHC delivery system in Nigeria.Currently, physiotherapy services are available at the big cities in the urban areas of the country, thus denying the myriads of people that might need the service that could not get to the big cities either due to their health conditions or due to financial incapacitation. Emphasis for the greater involvement of physiotherapists in PHC further arose from the fact PHC system in Nigeria is not yet adequately sensitized to promoting preventative measures needed to combats chronic non communicable diseases, the health care needs of the elderly and those of the people living with disability (PLWD).In conclusion, the paper recommendsa need for an urgent reform of the mode and delivery of PHC in Nigeria with emphasis on integrating physiotherapists and other relevant health care professionals and with enhancement of intersectoral/ interdisciplinary collaborations. This integration will undoubtedly increase health care providers’satisfaction and improve patients’ outcome in both acute and chronic care settingsKeywords: Primary Heath Care, Physiotherapy

COVID 19 and Special Care Dentistry: A Narrative Review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1473-1476
Author(s):  
Ashwika Datey ◽  
Soumya Singhai ◽  
Gargi Nimbulkar ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Care Delivery ◽  
Special Care ◽  
World Health ◽  
Healthcare Sector ◽  
Health Care Needs ◽  
Oral Diseases ◽  
Care Needs

The COVID 19 outbreak has been declared a pandemic by the world health organisation. The healthcare sector was overburdened and overstretched with the number of patient increasing and requiring health services. The worst-hit population always are the people with special needs, whether it is children, pregnant females or the geriatric population. The need for the emergency kind of health services was so inflated that the other special population which required them equally as those patients with the COVID 19 suffered a lot. Dentistry was not an exception, and even that is also one of the important components of the health care delivery system and people requiring oral health care needs were also more. Those undergoing dental treatments would not have completed the treatment, and this would have resulted in various complications. In this situation, some dental emergency guidelines have been released by Centres for Disease Control (CDC) for the urgent dental care those requiring special care dentistry during the COVID 19 pandemic. Children with special care needs were considered more vulnerable to oral diseases; hence priority should have been given to them for dental treatments moreover in the future also more aggressive preventive measures should be taken in order to maintain oral hygiene and prevent many oral diseases. Guardians/caregivers should be made aware and motivated to maintain the oral health of children with special health care needs. This review mainly focuses on the prevention and management of oral diseases in children's with special care needs.

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