Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Assessing unmet health-care needs of the elderly in west of Iran: A case study

(2021) Assessing unmet health-care needs of the elderly in west of Iran: A case study. International Journal of Human Rights in Healthcare.

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Abstract

Purpose: The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran). Design/methodology/approach: This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services. Findings: The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7 and 29.7, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6 and 17, respectively. Having health insurance (adjusted OR 12.08; 95 confidence interval CI 1.04�140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30�20.51) and being in an age group of 65�70 years (adjusted OR 7.60; CI 1.42�40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60�65 years (adjusted OR 0.41; 95% CI 0.18�0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services. Originality/value: The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential. © 2021, Emerald Publishing Limited.

Item Type: Article
Keywords: adult; aged; article; cross-sectional study; economic status; female; groups by age; health insurance; hospital patient; human; independent variable; Iran; major clinical study; male; middle aged; outpatient care; questionnaire; self medication; self report; unmet medical need
Subjects: WA Public Health > WA 525-590 Health Administration and Organization
Divisions: Research Vice-Chancellor Department > Social Determinants of Health Research Center
Journal or Publication Title: International Journal of Human Rights in Healthcare
Journal Index: ISI
Publisher: Emerald Group Holdings Ltd.
Identification Number: 10.1108/IJHRH-09-2020-0083
ISSN: 20564902
Depositing User: مسعود رسول آبادی
URI: http://eprints.muk.ac.ir/id/eprint/4997

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