Cargando…
Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner
Functional limitations, chronic diseases and frailty often occur in later life. These aspects become very challenging when older people age alone in place, thus needing support in the activities of daily living, and in this context, it is important they can access and use health services. The presen...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9332283/ https://www.ncbi.nlm.nih.gov/pubmed/35897424 http://dx.doi.org/10.3390/ijerph19159063 |
_version_ | 1784758608280420352 |
---|---|
author | Melchiorre, Maria Gabriella Socci, Marco Quattrini, Sabrina Lamura, Giovanni D’Amen, Barbara |
author_facet | Melchiorre, Maria Gabriella Socci, Marco Quattrini, Sabrina Lamura, Giovanni D’Amen, Barbara |
author_sort | Melchiorre, Maria Gabriella |
collection | PubMed |
description | Functional limitations, chronic diseases and frailty often occur in later life. These aspects become very challenging when older people age alone in place, thus needing support in the activities of daily living, and in this context, it is important they can access and use health services. The present study aimed to explore these issues in Italy. In 2019, 120 qualitative interviews were carried out within the “Inclusive Ageing in Place” (IN-AGE) project, involving frail older people living at home in three Italian regions (Lombardy, Marche, and Calabria). A content analysis and some quantifications of main statements are presented. Results showed that the majority of seniors report poor self-rated health (SRH), suffer from many chronic diseases, and mainly use the General Practitioner (GP) and Medical Specialists (MSs), even though long waiting list in the public sector and high costs in the private one act as barriers to access health services. Complaints regarding GPs mainly refer to the almost exclusive provision of prescriptions and the lack of home visits. Some regional peculiarities highlighted a better overall context in the north than in the south, especially with regards to the public health sector. These results can provide useful insights for policy makers, in order to deliver health services assuring frail, older people the continuity of assistance needed at home. |
format | Online Article Text |
id | pubmed-9332283 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93322832022-07-29 Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner Melchiorre, Maria Gabriella Socci, Marco Quattrini, Sabrina Lamura, Giovanni D’Amen, Barbara Int J Environ Res Public Health Article Functional limitations, chronic diseases and frailty often occur in later life. These aspects become very challenging when older people age alone in place, thus needing support in the activities of daily living, and in this context, it is important they can access and use health services. The present study aimed to explore these issues in Italy. In 2019, 120 qualitative interviews were carried out within the “Inclusive Ageing in Place” (IN-AGE) project, involving frail older people living at home in three Italian regions (Lombardy, Marche, and Calabria). A content analysis and some quantifications of main statements are presented. Results showed that the majority of seniors report poor self-rated health (SRH), suffer from many chronic diseases, and mainly use the General Practitioner (GP) and Medical Specialists (MSs), even though long waiting list in the public sector and high costs in the private one act as barriers to access health services. Complaints regarding GPs mainly refer to the almost exclusive provision of prescriptions and the lack of home visits. Some regional peculiarities highlighted a better overall context in the north than in the south, especially with regards to the public health sector. These results can provide useful insights for policy makers, in order to deliver health services assuring frail, older people the continuity of assistance needed at home. MDPI 2022-07-25 /pmc/articles/PMC9332283/ /pubmed/35897424 http://dx.doi.org/10.3390/ijerph19159063 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Melchiorre, Maria Gabriella Socci, Marco Quattrini, Sabrina Lamura, Giovanni D’Amen, Barbara Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner |
title | Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner |
title_full | Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner |
title_fullStr | Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner |
title_full_unstemmed | Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner |
title_short | Frail Older People Ageing in Place in Italy: Use of Health Services and Relationship with General Practitioner |
title_sort | frail older people ageing in place in italy: use of health services and relationship with general practitioner |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9332283/ https://www.ncbi.nlm.nih.gov/pubmed/35897424 http://dx.doi.org/10.3390/ijerph19159063 |
work_keys_str_mv | AT melchiorremariagabriella frailolderpeopleageinginplaceinitalyuseofhealthservicesandrelationshipwithgeneralpractitioner AT soccimarco frailolderpeopleageinginplaceinitalyuseofhealthservicesandrelationshipwithgeneralpractitioner AT quattrinisabrina frailolderpeopleageinginplaceinitalyuseofhealthservicesandrelationshipwithgeneralpractitioner AT lamuragiovanni frailolderpeopleageinginplaceinitalyuseofhealthservicesandrelationshipwithgeneralpractitioner AT damenbarbara frailolderpeopleageinginplaceinitalyuseofhealthservicesandrelationshipwithgeneralpractitioner |