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Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city

This exploratory qualitative study investigates older adults’ unmet needs in the age-friendly city of Ipoh, Malaysia. Seventeen participants were interviewed, including ten older adults residing in Ipoh City for at least six months, four carers, and three professional key informants. Interviews were...

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Autores principales: Lim, Xin-Jie, Chew, Chii-Chii, Chang, Chee-Tao, Supramaniam, Premaa, Ding, Lay-Ming, Devesahayam, Philip Rajan, Low, Lee-Lan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243629/
https://www.ncbi.nlm.nih.gov/pubmed/37279237
http://dx.doi.org/10.1371/journal.pone.0286638
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author Lim, Xin-Jie
Chew, Chii-Chii
Chang, Chee-Tao
Supramaniam, Premaa
Ding, Lay-Ming
Devesahayam, Philip Rajan
Low, Lee-Lan
author_facet Lim, Xin-Jie
Chew, Chii-Chii
Chang, Chee-Tao
Supramaniam, Premaa
Ding, Lay-Ming
Devesahayam, Philip Rajan
Low, Lee-Lan
author_sort Lim, Xin-Jie
collection PubMed
description This exploratory qualitative study investigates older adults’ unmet needs in the age-friendly city of Ipoh, Malaysia. Seventeen participants were interviewed, including ten older adults residing in Ipoh City for at least six months, four carers, and three professional key informants. Interviews were conducted using semi-structured questions based on the WHO Age-Friendly Cities Framework. A 5P framework for active ageing based on the ecological ageing model was adapted for data analysis. The 5P framework consists of domains of person (micro), process (meso), place (macro), policymaking (macro), and prime, which allows for the dissection of older adults’ unmet needs in planning for multilevel approaches, which were employed for analysis. Person: the personal needs requiring improvement included digital divide disparity, inadequate family support, and restricted sports activities attributed to physical limitations. Process: There were fewer social activities and a lack of low-cost and easily accessible venues for seniors. Economic challenges include expensive private healthcare services, variation in the quality of care in older residential care facilities, and limited savings for retirement. Place issues include unequal distribution of exercise equipment, public open spaces, the need for more conducive parking for seniors, and a place for social activities. Difficulties assessing public transportation, digitalized services, and unaffordable e-hailing services are common among seniors. Housing issues for seniors include a lack of barrier-free housing design and unaffordable housing. Policymaking: Insufficient private sector commitment to improving services to older adults, lack of policy governance on the quality of nursing homes, and insufficient multidisciplinary governance collaboration. Prime: Health promotion for preventing age-related illness is required to preserve health in old age, and full-time family caregivers’ psychological well-being is often overlooked.
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spelling pubmed-102436292023-06-07 Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city Lim, Xin-Jie Chew, Chii-Chii Chang, Chee-Tao Supramaniam, Premaa Ding, Lay-Ming Devesahayam, Philip Rajan Low, Lee-Lan PLoS One Research Article This exploratory qualitative study investigates older adults’ unmet needs in the age-friendly city of Ipoh, Malaysia. Seventeen participants were interviewed, including ten older adults residing in Ipoh City for at least six months, four carers, and three professional key informants. Interviews were conducted using semi-structured questions based on the WHO Age-Friendly Cities Framework. A 5P framework for active ageing based on the ecological ageing model was adapted for data analysis. The 5P framework consists of domains of person (micro), process (meso), place (macro), policymaking (macro), and prime, which allows for the dissection of older adults’ unmet needs in planning for multilevel approaches, which were employed for analysis. Person: the personal needs requiring improvement included digital divide disparity, inadequate family support, and restricted sports activities attributed to physical limitations. Process: There were fewer social activities and a lack of low-cost and easily accessible venues for seniors. Economic challenges include expensive private healthcare services, variation in the quality of care in older residential care facilities, and limited savings for retirement. Place issues include unequal distribution of exercise equipment, public open spaces, the need for more conducive parking for seniors, and a place for social activities. Difficulties assessing public transportation, digitalized services, and unaffordable e-hailing services are common among seniors. Housing issues for seniors include a lack of barrier-free housing design and unaffordable housing. Policymaking: Insufficient private sector commitment to improving services to older adults, lack of policy governance on the quality of nursing homes, and insufficient multidisciplinary governance collaboration. Prime: Health promotion for preventing age-related illness is required to preserve health in old age, and full-time family caregivers’ psychological well-being is often overlooked. Public Library of Science 2023-06-06 /pmc/articles/PMC10243629/ /pubmed/37279237 http://dx.doi.org/10.1371/journal.pone.0286638 Text en © 2023 Lim et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lim, Xin-Jie
Chew, Chii-Chii
Chang, Chee-Tao
Supramaniam, Premaa
Ding, Lay-Ming
Devesahayam, Philip Rajan
Low, Lee-Lan
Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city
title Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city
title_full Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city
title_fullStr Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city
title_full_unstemmed Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city
title_short Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults’ perspectives in a Malaysian city
title_sort perceived unmet needs of an age-friendly environment: a qualitative exploration of older adults’ perspectives in a malaysian city
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243629/
https://www.ncbi.nlm.nih.gov/pubmed/37279237
http://dx.doi.org/10.1371/journal.pone.0286638
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