Situations of Inequities in Access to Essential Health Care Services among Older People: A Qualitative Study
Keywords:
situations of inequities, access to health care services, access to essential health care services among older people, older peopleAbstract
This descriptive qualitative research aimed to explain perspectives on the situation of inequities in accessing essential health care services among older people in Phayao Province. The data was collected through in-depth interviews. The participants included older people, elderly caregivers, health personnel, community leaders, public health volunteers, and local government organization. A total of 18 people were selected by the purposive method. Semi-structured interviews were conducted in depth until the information was saturated. The data were transcribed word for word and analyzed using the thematic analysis method.
The results revealed that the situation of inequalities in accessing essential health services for the elderly provided four main perspectives: 1) the definition and characteristics of access to essential health care services for the elderly; 2) characteristics of inequities; 3) related factors of inequities; and 4) the methods to reduce inequities.
Recommendations: focusing on the situations of inequities in accessing essential health care services for the elderly leads to their problems and both internal and external related factors that are specific to each context, especially ethnic elderly people, and could be used to develop a model of health care services for reducing inequities appropriate to each area.
References
The Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai Older Person 2021. Institute for Population and Social Research, Mahidol University; Nakhon Pathom. 2022 ISBN: 978-616-443-686-2. (in Thai).
Shur NF, Creedon L, Skirrow S, Atherton PJ, MacDonald IA, Lund J, Greenhaff PL. Agerelated changes in muscle architecture and metabolism in humans: The likely contribution of physical inactivity to agerelated functional decline. Ageing Research Reviews. 2021 Jul; 68:101344. doi: 10.1016/j.arr.2021.101344.
Mohd Rosnu NS, Singh DKA, Mat Ludin AF, Ishak WS, Abd Rahman MH, Shahar S. Enablers and barriers of accessing health care services among older adults in South-East Asia: A scoping review. International Journal of Environmental Research and Public Health. 2022; 19(12):7351. doi: 10.3390/ijerph19127351.
Tapasee W, Danpradit P, Rattanawijit, S. Health care service model for elderly by community participation, Wangtagoo Subdistrict, Nakhon Pathom Province. Kuakarun Journal of Nursing. 2017; 24(1): 42-54. (in Thai)
Banerjee S. Determinants of rural-urban differential in healthcare utilization among the elderly population in India. BMC Public Health. 2021; 21(1): 939. doi: 10.1186/s12889-021-10773-1.
Constitution drafting commission. The Secretariat of The House of Representatives. Constitution of the Kingdom of Thailand B.E. 2560. Bangkok: The Secretariat of The House of Representatives Printery. (in Thai)
Ministry of Public Health. Handbook of screening and health assessment for the elderly 2021. 2021; Nonthaburi, Thailand. (in Thai)
Manatwanich P, Keawwilai K. Health maintenance, promotion and prevention in the elderly. In Praditpornsin et al., editors. Textbook of Geriatric Medicine. Chulalongkorn Hospital and Faculty of Medicine, Chulalongkorn university. Bangkok, 2018 (in Thai)
Duplaga M., Grysztar M., Rodzinka M Kopec A. Scoping review of health promotion and disease prevention interventions addressed to elderly people. BMC Health Services Research. 2016, 16(Suppl 5): 278 doi 10.1186/s12913-016-1521-4.
Phayao Provincial Public Health Office. Population pyramid by gender, age group, Phayao Province. 2023. Health Data Center. (in Thai).
Nowell LS., Norris JM., White DE., Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 2017; 16(1). https://doi.org/10.1177/1609406917733847
Lincoln YS. and Guba EG. (1985) Naturalistic Inquiry. SAGE, Thousand Oaks, 289-331. http:// dx.doi.org/10.1016/0147-1767(85)90062-8
Thowprasert D, Radabutr, M. Perceptions and experiences on wearing removable acrylic denture of elderly in Bangkruai District, Nonthaburi Province: Phenomenological research. Journal of The Royal Thai Army Nurses. 2022; 23(3): 158-66. (in Thai)
Asante D, McLachlan CS, Pickles D, Isaac V. Understanding Unmet Care Needs of Rural Older Adults with Chronic Health Conditions: A Qualitative Study. International Journal of Environmental Research and Public Health. 2023; 20(4): 3298. doi: 10.3390/ijerph20043298. PMID: 36833993; PMCID: PMC9960497.
Chaisawat P, Phawananan P, Kittipichai W. Utilization of elderly health services, Tambon Viharn Khao, Amphor Tha-Chang, Sing Buri. Vajira Nursing Journal. 2016. 18(2); 42-50. (in Thai)
Gong CH, Kendig H, He X. Factors predicting health services use among older people in China: An analysis of the China Health and Retirement Longitudinal Study 2013. BMC Health Services Research. 2016 Feb 18;16:63. doi: 10.1186/s12913-016-1307-8.
Gao Q, Prina AM, Ma Y, Aceituno D, Mayston R. Inequalities in older age and primary health care utilization in low-and middle-income countries: A Systematic Review. International Journal of Health Services. 2022; 52(1): 99-114. doi: 10.1177/00207314211041234.
Andersen RM. (1995). Source revisiting the behavioral model and access to medical care: does it matter?. Journal of Health and Social Behavior, 36(1), 1-10.
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