Factors associated with needs among the patients toward elderly health care clinic, Chiang rai province
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Abstract
BACKGROUND: In response to the country’s transition into an aging society, the Ministry of Public Health has recognized the importance of establishing elderly care clinics to provide comprehensive health services for the elderly.
OBJECTIVE: To study the level of needs and factors associated with the needs of clients in elderly care clinics in Chiang Rai Province.
METHODS: This research was an analytic cross-sectional study conducted at 4 elderly care clinics in Chiang Rai Province from October 2023 to April 2024. Data was collected using a questionnaire. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. Factors associated with the needs of elderly clinic clients were examined using inferential statistics, namely chi-square and Multivariable Logistic Regression
RESULTS: A total of 312 elderly clinic clients participated in the study. Most had an overall need in showed a high level range 49.68%. By category, 56.41% showed a high level of needs for service quality, 62.50% had high information needs, 82.05% expressed high needs in financial and healthcare budgeting, 81.73% had high needs for access to essential medications and medical technology, 69.87% had high needs in healthcare workforce, 78.85% indicated a high needs for leadership and governance within the health system, 64.42% of clients showed low to moderate demand for community health system support. Analysis of factors associated with service needs at elderly care clinics revealed that clients service recipients from secondary education to junior college education have demand for clinical services for the elderly, and the adjusted ratio is 3. 37(95%CI 1.97 to 5.74 p<0.001) and the adjusted ratio of non-professional service recipients' demand for clinical services for the elderly is 2. 40(95%CI 1.41 to 4. 09 p 0. 001) The service demand of service recipients referred by community health screening is adjusted to 4. 29(95%CI 1.99 to 9. 02 p< 0.001) and the service recipients who pay for the elderly clinic's service demand for the elderly clinic is the adjusted ratio of
3.70 (95%CI 1.73 to 7. 91 p 0. 001)
CONCLUSIONS AND RECOMMENDATIONS: The results of the study on the needs of the elderly should be used to develop a service model that is appropriate for service recipients and service providers. Additionally, further research on the expectations and service model of quality elderly clinics in Chiang Rai Province is recommended to identify key issues in driving and implementing effective practices.
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