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Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China
BACKGROUND: China has rapidly transformed into an ageing nation and will be one of the countries with the highest percentage of aged people in 2050. Healthcare management for the aged (HMA) in basic public health service (BPHS), which is delivered by lay healthcare workers (LHWs) in primary health c...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077106/ https://www.ncbi.nlm.nih.gov/pubmed/32178646 http://dx.doi.org/10.1186/s12889-020-8210-2 |
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author | Li, Li Zhang, Rui Chen, Yong Deng, Haoyue Liu, Shili Wang, Geng Wang, Mei Liang, Shengxiang Xing, Wei Lin, Hai Li, Ying |
author_facet | Li, Li Zhang, Rui Chen, Yong Deng, Haoyue Liu, Shili Wang, Geng Wang, Mei Liang, Shengxiang Xing, Wei Lin, Hai Li, Ying |
author_sort | Li, Li |
collection | PubMed |
description | BACKGROUND: China has rapidly transformed into an ageing nation and will be one of the countries with the highest percentage of aged people in 2050. Healthcare management for the aged (HMA) in basic public health service (BPHS), which is delivered by lay healthcare workers (LHWs) in primary health care (PHC) sectors, is an important strategy to address the healthcare challenges that have resulted from ageing in China since 2009. This survey aimed to understand the achievements made and challenges faced by HMA in Southwest China. METHODS: A multilevel stratified random and consecutive sampling method was used to select study places and participants respectively, and mixed research methods were used to collect data from the aged individuals, LHWs and leaders in PHC sectors. SPSS 21.0 was used for data analysis. RESULTS: Seven hundred seventy-two surveys with aged people (over 60 years old), 16 focus group discussions (FGDs) with 96 aged people, and 32 in-depth interviews with 16 LHWs and 16 leaders were completed in PHC sectors. More than 85% of aged individuals had knowledge and utilization of HMA, and over 94% of these respondents were satisfied with HMA. Meanwhile, challenges in HMA delivery included weakness (unmet items and lack of appropriate assessment indicators) in HMA design, low capacity of PHC sectors and competency of LHWs to deliver HMA, poor health literacy of aged individuals, insufficient funds and a lack of multi-sector cooperation. CONCLUSIONS: Though significant achievements in HMA were observed, this study highlighted the challenges in further quality improvement of HMA delivery program in Southwest China. The “older-person-centered and integrated care” model provided a good theory to improve the quality of HMA by reinforcing the needs-based HMA design, building a comprehensive assessment strategy, improving the capacity of PHC sectors and the LHWs’ competency, and strengthening multi-sector cooperation. |
format | Online Article Text |
id | pubmed-7077106 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70771062020-03-19 Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China Li, Li Zhang, Rui Chen, Yong Deng, Haoyue Liu, Shili Wang, Geng Wang, Mei Liang, Shengxiang Xing, Wei Lin, Hai Li, Ying BMC Public Health Research Article BACKGROUND: China has rapidly transformed into an ageing nation and will be one of the countries with the highest percentage of aged people in 2050. Healthcare management for the aged (HMA) in basic public health service (BPHS), which is delivered by lay healthcare workers (LHWs) in primary health care (PHC) sectors, is an important strategy to address the healthcare challenges that have resulted from ageing in China since 2009. This survey aimed to understand the achievements made and challenges faced by HMA in Southwest China. METHODS: A multilevel stratified random and consecutive sampling method was used to select study places and participants respectively, and mixed research methods were used to collect data from the aged individuals, LHWs and leaders in PHC sectors. SPSS 21.0 was used for data analysis. RESULTS: Seven hundred seventy-two surveys with aged people (over 60 years old), 16 focus group discussions (FGDs) with 96 aged people, and 32 in-depth interviews with 16 LHWs and 16 leaders were completed in PHC sectors. More than 85% of aged individuals had knowledge and utilization of HMA, and over 94% of these respondents were satisfied with HMA. Meanwhile, challenges in HMA delivery included weakness (unmet items and lack of appropriate assessment indicators) in HMA design, low capacity of PHC sectors and competency of LHWs to deliver HMA, poor health literacy of aged individuals, insufficient funds and a lack of multi-sector cooperation. CONCLUSIONS: Though significant achievements in HMA were observed, this study highlighted the challenges in further quality improvement of HMA delivery program in Southwest China. The “older-person-centered and integrated care” model provided a good theory to improve the quality of HMA by reinforcing the needs-based HMA design, building a comprehensive assessment strategy, improving the capacity of PHC sectors and the LHWs’ competency, and strengthening multi-sector cooperation. BioMed Central 2020-03-17 /pmc/articles/PMC7077106/ /pubmed/32178646 http://dx.doi.org/10.1186/s12889-020-8210-2 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Li, Li Zhang, Rui Chen, Yong Deng, Haoyue Liu, Shili Wang, Geng Wang, Mei Liang, Shengxiang Xing, Wei Lin, Hai Li, Ying Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China |
title | Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China |
title_full | Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China |
title_fullStr | Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China |
title_full_unstemmed | Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China |
title_short | Achievements and challenges in health management for aged individuals in primary health care sectors: a survey in Southwest China |
title_sort | achievements and challenges in health management for aged individuals in primary health care sectors: a survey in southwest china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077106/ https://www.ncbi.nlm.nih.gov/pubmed/32178646 http://dx.doi.org/10.1186/s12889-020-8210-2 |
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