Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran

Objectives: In the geriatric care provided in health centers, the healthy elderly are neglected. This qualitative study aims to improve the quality of geriatric care for the healthy elderly. Methods & Materials: This community-based participatory study was conducted from 2016 to 2018 with the pa...

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Main Authors: Hamid Reza Zendehtalab, Zohreh Vanaki, Robabeh Memarian
Format: Article
Language:fas
Published: University of Social Welfare & Rehabilitation Sciences 2021-02-01
Series:Sālmand
Subjects:
Online Access:http://salmandj.uswr.ac.ir/article-1-1958-en.html
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author Hamid Reza Zendehtalab
Zohreh Vanaki
Robabeh Memarian
author_facet Hamid Reza Zendehtalab
Zohreh Vanaki
Robabeh Memarian
author_sort Hamid Reza Zendehtalab
collection DOAJ
description Objectives: In the geriatric care provided in health centers, the healthy elderly are neglected. This qualitative study aims to improve the quality of geriatric care for the healthy elderly. Methods & Materials: This community-based participatory study was conducted from 2016 to 2018 with the participation of 11 healthcare providers, 54 older people and 54 family members in Shahid Motahari Comprehensive Health Center in Mashhad, Iran. The mean age of healthcare providers was 32.4±2.7 years with a work experience 8.3 years. The mean age of the elderly was 64.3±3.9 years. Data were collected using the SERVQUAL questionnaire and interviews, focus group discussions, and field note taking. After identifying the problems through interviews with 8 personnel and 19 older people, group discussion sessions were held to design the change programs. After implementing the change programs, 30 interviews were conducted with the participants and comparisons were made before and after the programs. Descriptive statistics was used to analyze the qualitative data, and descriptive statistics and paired t-test were used to analyze the quantitative data. Results: The mean total score of service quality according to the elderly and their families in the pre-intervention stage was 63.02±9.46 and 61.83±9.05, respectively. These values reached 130.09±14.75 and 122.65±13.56 in the post-intervention stage, and this difference was statistically significant (P=0.001). The presented dynamic care model was able to improve geriatric care for the healthy elderly in the comprehensive health center by modifying the attitude, skills and empowerment of staff. Conclusion: The dynamic care model can improve the quality of geriatric services for the healthy elderly with features such as active, participatory, continuous, comprehensive and supportive care. It can be used in other health centers.
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spelling doaj.art-2f53f13757994d5389a01943b923e54e2023-09-02T10:20:50ZfasUniversity of Social Welfare & Rehabilitation SciencesSālmand1735-806X1735-806X2021-02-01154428439Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in IranHamid Reza Zendehtalab0Zohreh Vanaki1Robabeh Memarian2 Department of Nursing, School of Medical Scinces, University of Tarbiyat Modares, Tehran, Iran. Department of Nursing, School of Medical Scinces, University of Tarbiyat Modares, Tehran, Iran. Department of Nursing, School of Medical Scinces, University of Tarbiyat Modares, Tehran, Iran. Objectives: In the geriatric care provided in health centers, the healthy elderly are neglected. This qualitative study aims to improve the quality of geriatric care for the healthy elderly. Methods & Materials: This community-based participatory study was conducted from 2016 to 2018 with the participation of 11 healthcare providers, 54 older people and 54 family members in Shahid Motahari Comprehensive Health Center in Mashhad, Iran. The mean age of healthcare providers was 32.4±2.7 years with a work experience 8.3 years. The mean age of the elderly was 64.3±3.9 years. Data were collected using the SERVQUAL questionnaire and interviews, focus group discussions, and field note taking. After identifying the problems through interviews with 8 personnel and 19 older people, group discussion sessions were held to design the change programs. After implementing the change programs, 30 interviews were conducted with the participants and comparisons were made before and after the programs. Descriptive statistics was used to analyze the qualitative data, and descriptive statistics and paired t-test were used to analyze the quantitative data. Results: The mean total score of service quality according to the elderly and their families in the pre-intervention stage was 63.02±9.46 and 61.83±9.05, respectively. These values reached 130.09±14.75 and 122.65±13.56 in the post-intervention stage, and this difference was statistically significant (P=0.001). The presented dynamic care model was able to improve geriatric care for the healthy elderly in the comprehensive health center by modifying the attitude, skills and empowerment of staff. Conclusion: The dynamic care model can improve the quality of geriatric services for the healthy elderly with features such as active, participatory, continuous, comprehensive and supportive care. It can be used in other health centers.http://salmandj.uswr.ac.ir/article-1-1958-en.htmlhealthy agingparticipatory researchservice quality
spellingShingle Hamid Reza Zendehtalab
Zohreh Vanaki
Robabeh Memarian
Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran
Sālmand
healthy aging
participatory research
service quality
title Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran
title_full Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran
title_fullStr Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran
title_full_unstemmed Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran
title_short Improving the Quality of Geriatric Care for the Healthy Elderly in a Comprehensive Health Centers in Iran
title_sort improving the quality of geriatric care for the healthy elderly in a comprehensive health centers in iran
topic healthy aging
participatory research
service quality
url http://salmandj.uswr.ac.ir/article-1-1958-en.html
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AT zohrehvanaki improvingthequalityofgeriatriccareforthehealthyelderlyinacomprehensivehealthcentersiniran
AT robabehmemarian improvingthequalityofgeriatriccareforthehealthyelderlyinacomprehensivehealthcentersiniran