Health Need Assessment and Accessibility to Health Services of Rural Elderly in Wihandaeng District, Saraburi Province

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Suthaluk Kwanjaroensub
Nawarat Suwannapong
Mathuros Tipayamongkholgul
Charuwan Manmee


            This research was a cross-sectional study. The objectives of this research were to evaluate health need assessment and accessibility to health services of rural elderly and analyse the relationship between personal characteristics, activities of daily living, social support, and accessibility to health services of rural elderly in Wihandaeng district, Saraburi province. The sample of this research was 299 rural elderly. The data were collected by interview and observation between November 2016 - January 2017. The reliability values of interview health need, social support and accessibility to health services were 0.91, 0.86, and 0.96, respectively. Data were analyzed using descriptive statistics and binary logistic regression.
            The results of this research found that overall health need assessment was at a moderate level 49.50%, the overall accessibility to health services was at a high level 55.52%, activities of daily living found that well elder group was 91.30%, home bound elder group 6.68% and bed bound elder group 2.00%. Overall social support was at a moderate level 59.20%. The factors related to the accessibility to health services of rural elderly in Wihandaeng district, Saraburi province were high level of the emotional social support (Adj. OR = 2.36; 95% CI 1.24 – 4.51), appraisal social support at a high level (Adj. OR = 2.10; 95% CI 1.19 – 3.70) and informational social support at a high level (Adj. OR = 1.91; 95% CI 1.01 – 3.60). Personal characteristics, activities of daily living and instrumental social support did not relate factors.
            Suggestions: Increasing the performance of health facilities, such as staff nurses with expertise elderly care, the appropriate appointments and giving health information to elders will help them more easily access to healthcare services.


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