Peculiarities of the organization of primary medical care for the elderly in Prykarpattia
DOI:
https://doi.org/10.32782/2077-6594/2024.2/13Keywords:
primary medical care, elderly people, general practitioner-family medicine, therapistAbstract
Every year, the average life expectancy of our society increases, which leads to an increase in the number of elderly people and a corresponding increase in the need for medical care for this population group. The aim of the study was to study the peculiarities of the organization of providing primary medical care to elderly people in the world, in the country and, in particular, in Prykarpattia. Materials and methods: international experience, regulatory and legal framework, data of official medical statistics of Ukraine and medical and sociological research were analyzed (according to a specially developed program, 269 doctors (therapists and general practitioners of family medicine) who provide primary medical care to the population of Ivano-Frankiv region). The results. Information is presented on the specifics of the need for primary medical care for the elderly according to the recommendations of world experts and the need to improve the quality of providing such care to the population of Ukraine is substantiated, considering that our country is among the top 30 oldest countries in the world in terms of the percentage of the population aged 60 and older. Analytical panels (Dashboards) of the National Health Service of Ukraine regarding the structure of primary care providers in Ukraine were analyzed, on the basis of which a survey of primary care doctors in Prykarpattia was conducted according to a specially developed program and their characterization was carried out. The gender-age composition of the medical staff (68.03% female doctors and 31.97% male doctors; the average age of the respondents was 45.65±0.92 years) who provide primary medical care to the elderly was studied. Also, their distribution by medical specialties is shown (69.14% are family medicine doctors and 30.86% are therapists) and places of medical service provision (53.53% work in cities, and 46.47% in villages or towns urban type). Conclusions: The sex-age structure of a representative sample of providers of primary medical care to the elderly in Prykarpattia is highlighted, their distribution by specialty and location of service provision is shown.
References
World report on ageing and health. Geneva: World Health Organization; 2015. 246 p. Available from: http://www.who.int/ageing/publications/world-report-2015/en/.
WHO. Framework for countries to achieve an integrated continuum of long-term care. Geneva: World Health Organization; 2021. https://apps.who.int/iris/bitstream/handle/10665/349911/9789240038844-eng.pdf?sequence=1
Жалдак ПІ, Крупельницька ІГ. Адаптація людей похилого віку до сучасних соціальних умов. World science. 2019;1(29):34-8.
Полякова СВ. Бідність літніх людей в Україні: основні тенденції та рекомендації до політики. Демографія та соціальна економіка. 2017;3: 113-123.
Kalantari AR, Mehrolhassani MH, Shati M, Dehnavieh R. Health service delivery models for elderly people: A systematic review. Med J Islam Repub Iran. 2021 Feb 10;35:21. doi: 10.47176/mjiri.35.21. PMID: 34169033; PMCID: PMC8214038.
Barajas-Nava LA, Garduño-Espinosa J, Mireles Dorantes JM, et al. Models of comprehensive care for older persons with chronic diseases: a systematic review with a focus on effectiveness. BMJ Open 2022;12:e059606. doi: 10.1136/bmjopen-2021-059606.https://bmjopen.bmj.com/content/12/8/e059606.
Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. Int J Integr Care. 2013. March 22;13(1):e010. 10.5334/ijic.886
Curry N, Ham C. Clinical and service integration: the route to improved outcomes. London: The King's Fund; 2010
Araujo de Carvalho I, Epping-Jordan J, Pot AM, Kelley E, Toro N, Thiyagarajan JA, Beard JR. Organizing integrated healthcare services to meet older people's needs. Bull World Health Organ. 2017 Nov 1;95(11):756-763. doi: 10.2471/BLT.16.187617. Epub 2017 May 26. PMID: 29147056; PMCID: PMC5677611.
Kalantari AR, Mehrolhassani MH, Shati M, Dehnavieh R. Health service delivery models for elderly people: A systematic review. Med J Islam Repub Iran. 2021 Feb 10;35:21. doi: 10.47176/mjiri.35.21. PMID: 34169033; PMCID: PMC8214038. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214038/
Barajas-Nava LA, Garduño-Espinosa J, Mireles Dorantes JM, et al. Models of comprehensive care for older persons with chronic diseases: a systematic review with a focus on effectiveness. BMJ Open 2022;12:e059606. doi: 10.1136/bmjopen-2021-059606. https://bmjopen.bmj.com/content/12/8/e059606
Chad Boult, Ariel Frank Green, Lisa B. Boult, James T. Pacala, Claire Snyder, and Bruce Lef. Successful Models of Comprehensive Care for Older Adults with Chronic Conditions: Evidence for the Institute of Medicine’s ‘‘Retooling for an Aging America’’. Report. JAGS 57:2328–2337, 2009. DOI: 10.1111/j.1532-5415.2009.02571.x https://www.commonwealthfund.org/sites/default/files/documents/___media_files_resources_2014_boult_j_geriatrics_dec_2009.pdf
Pitkälä , K , Gladman, J & Connolly, M 2017, Models of healthcare for older people. in J-P Michel, B L Beattie, F C Martin & J D Walston (eds) , Oxford Textbook of Geriatric Medicine. 3rd ed. edn, Oxford University Press, pp. 143–152. https://doi.org/10.1093/med/9780198701590.003.0019
van Lier LI, van der Roest HG, Garms-Homolová V, et al. Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study. Health Services Insights. 2021;14. doi:10.1177/11786329211022441 https://journals.sagepub.com/doi/full/10.1177/11786329211022441
Low, LF., Yap, M. & Brodaty, H. A systematic review of different models of home and community care services for older persons. BMC Health Serv Res 11, 93 (2011). https://doi.org/10.1186/1472-6963-11-93 https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-11-93
WHO. Integrated care for older people realigning primary health care to respond to population ageing. 2018. https://apps.who.int/iris/bitstream/handle/10665/326295/WHO-HIS-SDS-2018.44-eng.pdf
Schuchman M., Fain M., Cornwell T. The Resurgence of Home-Based Primary Care Models in the United States. Geriatrics. 2018;3:41. doi: 10.3390/geriatrics3030041.
Frank CC, Feldman S, Wyman R. Caring for older patients in primary care: Wisdom and innovation from Canadian family physicians. Can Fam Physician. 2018 Jun; 64(6):416-418. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999256/
Boeckxstaens P, De Graaf P. Primary care and care for older persons: position paper of the European Forum for Primary Care. Qual Prim Care. 2011;19(6):369-89.