Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective

Background. Studies have shown that comprehensive urban and rural health centers can provide 80% of the health needs of the elderly population. However, elderly individuals often do not utilize these services. The present study aimed to investigate the reasons why elderly individuals do not access s...

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Main Authors: Sasan Ghorbani Kalkhajeh, Bagher Pahlavanzadeh, Ramin Tabibi, Mohammad Mahboubi
Format: Article
Language:fas
Published: Tabriz University of Medical Sciences 2024-12-01
Series:Taṣvīr-i salāmat
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Online Access:https://doh.tbzmed.ac.ir/PDF/doh-15-367.pdf
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author Sasan Ghorbani Kalkhajeh
Bagher Pahlavanzadeh
Ramin Tabibi
Mohammad Mahboubi
author_facet Sasan Ghorbani Kalkhajeh
Bagher Pahlavanzadeh
Ramin Tabibi
Mohammad Mahboubi
author_sort Sasan Ghorbani Kalkhajeh
collection DOAJ
description Background. Studies have shown that comprehensive urban and rural health centers can provide 80% of the health needs of the elderly population. However, elderly individuals often do not utilize these services. The present study aimed to investigate the reasons why elderly individuals do not access services provided by comprehensive rural and urban health centers in the southwest of Khuzestan province, from the perspective of health center staff. Methods. This descriptive-analytical study utilized a multi-stage random sampling method to select 338 employees of comprehensive health centers in southwestern Khuzestan. A survey questionnaire was developed and administered to collect information, including demographic data and 39 questions regarding reasons for non-attendance at health centers. The validity and reliability of the survey questionnaire were assessed prior to data collection. Results. The majority of participants in this study were female (77.81%), married (74.26%), and had a bachelor's degree (32.25%). From the healthcare providers' perspective, preference for the private sector and personal factors related to the elderly or their families were identified as the main reasons for non-attendance at health centers. However, factors related to the physical condition of the centers, the quality of services provided, and the level of trust between elderly patients and healthcare providers were not found to have a significant impact on utilization of health center services. Conclusion. The elderly population's willingness to utilize first-level services in the health and treatment networks was not viewed favorably by healthcare providers. Integrating some level two and level three services into the first level of service could potentially incentivize the elderly to make greater use of these services. In addition, healthcare providers suggested that traditional medicine services should be considered and incorporated at the first level of service, given the interest in traditional medicine among the elderly population.
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spelling doaj-art-2557a104174e4b5483ee1d6c2a01c1972025-01-19T07:17:36ZfasTabriz University of Medical SciencesTaṣvīr-i salāmat2008-90582423-66402024-12-0115436738110.34172/doh.2024.28doh-3132Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' PerspectiveSasan Ghorbani Kalkhajeh0Bagher Pahlavanzadeh1Ramin Tabibi2Mohammad Mahboubi3 Department of Public Health, Faculty of Health, Abadan University of Medical Sciences, Abadan, Iran Faculty of Health, Environmental Pollutants Research Center, Abadan University of Medical Sciences, Abadan, Iran Department of Occupational Health, Faculty of Health, Abadan University of Medical Sciences, Abadan, Iran Department of Public Health, Faculty of Health, Abadan University of Medical Sciences, Abadan, Iran Background. Studies have shown that comprehensive urban and rural health centers can provide 80% of the health needs of the elderly population. However, elderly individuals often do not utilize these services. The present study aimed to investigate the reasons why elderly individuals do not access services provided by comprehensive rural and urban health centers in the southwest of Khuzestan province, from the perspective of health center staff. Methods. This descriptive-analytical study utilized a multi-stage random sampling method to select 338 employees of comprehensive health centers in southwestern Khuzestan. A survey questionnaire was developed and administered to collect information, including demographic data and 39 questions regarding reasons for non-attendance at health centers. The validity and reliability of the survey questionnaire were assessed prior to data collection. Results. The majority of participants in this study were female (77.81%), married (74.26%), and had a bachelor's degree (32.25%). From the healthcare providers' perspective, preference for the private sector and personal factors related to the elderly or their families were identified as the main reasons for non-attendance at health centers. However, factors related to the physical condition of the centers, the quality of services provided, and the level of trust between elderly patients and healthcare providers were not found to have a significant impact on utilization of health center services. Conclusion. The elderly population's willingness to utilize first-level services in the health and treatment networks was not viewed favorably by healthcare providers. Integrating some level two and level three services into the first level of service could potentially incentivize the elderly to make greater use of these services. In addition, healthcare providers suggested that traditional medicine services should be considered and incorporated at the first level of service, given the interest in traditional medicine among the elderly population.https://doh.tbzmed.ac.ir/PDF/doh-15-367.pdfcomprehensive health centerselderlykhuzestan
spellingShingle Sasan Ghorbani Kalkhajeh
Bagher Pahlavanzadeh
Ramin Tabibi
Mohammad Mahboubi
Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective
Taṣvīr-i salāmat
comprehensive health centers
elderly
khuzestan
title Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective
title_full Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective
title_fullStr Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective
title_full_unstemmed Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective
title_short Factors Influencing Non-Attendance of Elderly at Rural and Urban Comprehensive Health Centers from Healthcare Providers' Perspective
title_sort factors influencing non attendance of elderly at rural and urban comprehensive health centers from healthcare providers perspective
topic comprehensive health centers
elderly
khuzestan
url https://doh.tbzmed.ac.ir/PDF/doh-15-367.pdf
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