Characteristics of Departments That Provided Primary Support for Households with Complex Care Needs in the Community: A Preliminary Cross-Sectional Study

To prevent emergency admissions and save medical costs, support should be provided to households that include people with complex care needs to allow them to continue living in their own homes. This community-based, cross-sectional study was conducted to (1) identify which departments that public health nurses (PHNs) worked have been the primary providers of support for households with complex care needs and (2) clarify the length of time required by each department to resolve primary health problems. We analyzed 148 households with complex care needs that were registered in City A from April 2018 to July 2019. Four types of departments were the primary support providers for complex care households: the department supporting persons with disabilities (n = 54, 36.5%), public/community health centers (n = 47, 31.8%), department of older adults (n = 29, 19.6%), and welfare offices (n = 18, 12.2%). The Mantel–Cox test showed that welfare offices mainly supported households in economic distress and needed significantly less time to resolve their primary health issues than other departments. For early detection and resolution of primary health problems for households with complex care needs, PHNs and healthcare professionals should focus on their economic distress and enhanced multidisciplinary approaches.

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Factors related to complex care needs of older adults in community‐based integrated care centers in Japan: A cross‐sectional study

Japan Journal of Nursing Science ◽

10.1111/jjns.12440 ◽

2021 ◽

Author(s):

Kyoko Yoshioka‐Maeda ◽

Ayumi Kono

Keyword(s):

Older Adults ◽

Integrated Care ◽

Cross Sectional Study ◽

Complex Care ◽

Sectional Study ◽

Care Needs ◽

Community Based ◽

Cross Sectional ◽

Complex Care Needs

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Gait Speed rather than Dynapenia Is a Simple Indicator for Complex Care Needs: A Cross-sectional Study Using Minimum Data Set

Scientific Reports ◽

10.1038/s41598-017-08791-4 ◽

2017 ◽

Vol 7 (1) ◽

Cited By ~ 2

Author(s):

Tzu-Ya Huang ◽

Chih-Kuang Liang ◽

Hsiu-Chu Shen ◽

Hon-I Chen ◽

Mei-Chen Liao ◽

...

Keyword(s):

Cross Sectional Study ◽

Minimum Data Set ◽

Complex Care ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional ◽

Data Set ◽

Minimum Data ◽

Complex Care Needs ◽

Simple Indicator

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Unmet health care needs of elderly residing on urban areas of Sunsari District, Nepal. A Cross Sectional Study

10.21203/rs.2.18815/v1 ◽

2019 ◽

Author(s):

Mukesh Poudel ◽

Asmita Ojha ◽

Deepak Kumar Yadav ◽

Ram Bilakshan Sah ◽

Avaniendra Chakravartty ◽

...

Keyword(s):

Health Care ◽

Urban Areas ◽

Cross Sectional Study ◽

Health Problems ◽

Ageing Population ◽

Health Care Needs ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional ◽

Unmet Health Care Needs

Abstract Background : Global ageing population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that results in new challenges to meet the additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed.Objective : This study aimed to assess the unmet health care needs among elderly.Methodology : A Community based, House to House, Cross sectional study was conducted in urban areas of sunsari district using face to face interview. Sample size of 530 elderly were selected by Systematic proportionate random sampling technique.Results : This study unfurled the prevalence of unmet need for consultation for Near vision 52.3%, Far vision 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 %, and of at least one Unmet Health care need to be 64.9%. At least one unmet health need was significantly associated with higher odds among elderly of age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, distance of health facility > 30 mins, and those with depressive symptoms.Conclusion : The study highlighted higher prevalence and associated factors related to unmet health care needs among elderly. There is an urgent need to promote geriatric health services and make it available at the primary health care level.

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Unmet health care needs of elderly residing on urban areas of Sunsari District, Nepal. A Cross Sectional Study

10.21203/rs.2.18815/v2 ◽

2020 ◽

Author(s):

Mukesh Poudel ◽

Asmita Ojha ◽

Deepak Kumar Yadav ◽

Ram Bilakshan Sah ◽

Avaniendra Chakravartty ◽

...

Keyword(s):

Health Care ◽

Urban Areas ◽

National Health System ◽

Cross Sectional Study ◽

Health Problems ◽

Health Care Needs ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional ◽

Unmet Health Care Needs

Abstract Background: The global aging population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed. This study aimed to assess the unmet health care needs among elderly. Methods: A Community based, House to House, Cross-sectional study was conducted in urban areas of the sunsari district using face to face interviews. The sample size of 530 elderly was selected by a systematic proportionate random sampling technique. Results: This study unfurled the prevalence of unmet need for consultation for Nearsightedness 52.3%, Farsightedness 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 % among those with these specific health needs and of at least one Unmet Health care need to be 64.9% among the studied participants. At least one unmet health need was significantly associated with higher odds among elderly age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, the distance of health facility > 30 mins, and those with depressive symptoms. Conclusion: The study highlighted the higher prevalence and associated factors related to unmet health care needs among the elderly which should be addressed to promote healthy ageing. There is an urgent need to promote geriatric health services and make it available at the primary health care level the first level of contact with a national health system.

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