Assessment of primary health care received by the elderly and health related quality of life: a cross-sectional study
نویسندگان
چکیده
BACKGROUND Population aging leads to increased burden of chronic diseases and demand in public health. This study aimed to assess whether the score of Primary Health Care (PHC) is associated with a) the model of care - Family Health Strategy (FHS) vs. traditional care model (the Basic Health Units; BHU); b) morbid conditions such as - hypertension, diabetes mellitus, mental disorders, chronic pain, obesity and central obesity; c) quality of life in elderly individuals who received care in those units. METHODS A survey was conducted among the elderly between August 2010 and August 2011, in Ilheus, Bahia. We interviewed elderly patients - 60 years or older - who consulted at BHU or FHS units in that day or participated in a group activity, and those who were visited at home by the staff of PHC, selected through a random sample. Demographic and socioeconomic characteristics, services' attainment of primary care attributes, health problems and quality of life were investigated. The Short Form Health Survey (SF-12) was used to assess quality of life and PCATool to generate PHC scores. In addition, weight, height and waist circumference were measured. Trained research assistants, under supervision performed the data collection. RESULTS A total of 511 elderly individuals were identified, two declined to participate, resulting in 509 individuals interviewed. The health care provided by the FHS has higher attainment of PHC attributes, in comparison to the BHU, resulting in lower prevalence of score below six. Except for hypertension and cardiovascular disease, other chronic problems were not independently associated with low scores in PHC. It was observed an independent and positive association between PHC score and the mental component of quality of life and an inverse association with the physical component. CONCLUSIONS This study showed higher PHC attributes attainment in units with FHS, regardless of the health problem. The degree of orientation to PHC increased the mental component score of quality of life.
منابع مشابه
Assessment of Oral Health Related Quality of Life among Elderly People in Nursing Homes in Karaj in 2020
Introduction: Quality of life is one of the new concepts of health, which encompasses different aspects of life such as oral health. The oral health related quality of life is affected by different factors that assessed in different groups. Due to increasing population growth and the existence of special physical, psychological and social conditions, elderly are one of the important groups. So,...
متن کاملSelf-Care and Relevant Factors Shaping Quality of Life among the Elderly with and Without Chronic Disease
Background: As world's population is growing, quality of life (QOL) and related factors such as self-care keep gaining mounting attention as they may affect the lives of the elderly significantly. The majority of the elderly people suffer from at least one chronic illness which plays an important role in elderly QOL. Objectives: This study was conducted to investigate self-care and related fac...
متن کاملDeterminants of Health-Related Quality of Life in Rural Elderly People of the West of Iran: A Population-Based, Cross- Sectional Study
Background and aims: World’s older population is growing, and attention is being directed to theimprovement of their health-related quality of life (HRQoL). This article was conducted to investigatethe HRQoL and associated factors in rural elderly residents in west of Iran.Methods: By using the multistage sampling method, 346 elders from rural areas of Shahindezh wereenr...
متن کاملSelf-Reported Oral Health and Quality of Life in the Elderly
Introduction: Given growing elderly population and high prevalence of oral and dental diseases in this age group, this study was conducted to investigate oral health status and related quality of life among older adults in Yazd located in central Iran. Methods: The cross sectional study was carried out on 210 elderly people aged ≥ 60 years under the guise of Yazd health care centers who...
متن کاملAssessing the Quality of Primary Health Services and Its Effect on Quality of Life in Recipients: A Case Study in a Rural Health Center
Background & objectives: Primary health services are inseparable part of health care system in each country and the assessment of quality of life is fundamental in the evaluation of healthcare system’s quality. The aim of this study was to assess the quality of primary healthcare services and its effect on quality of life in the recipients of these services in a health center and its subsection...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 13 شماره
صفحات -
تاریخ انتشار 2013