对初级保健中心为老年人提供的医疗服务及其内部环境的评估。迈向对老年人友好的健康中心的一步。
Evaluation of health care services provided for older adults in primary health care centers and its internal environment. A step towards age-friendly health centers.
作者信息
Alhamdan Adel A, Alshammari Sulaiman A, Al-Amoud Maysoon M, Hameed Tariq A, Al-Muammar May N, Bindawas Saad M, Al-Orf Saada M, Mohamed Ashry G, Al-Ghamdi Essam A, Calder Philip C
机构信息
Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.
出版信息
Saudi Med J. 2015 Sep;36(9):1091-6. doi: 10.15537/smj.2015.9.11789.
OBJECTIVES
To evaluate the health care services provided for older adults by primary health care centers (PHCCs) in Riyadh, Kingdom of Saudi Arabia (KSA), and the ease of use of these centers by older adults.
METHODS
Between October 2013 and January 2014, we conducted a descriptive cross-sectional study of 15 randomly selected PHCCs in Riyadh City, KSA. The evaluation focused on basic indicators of clinical services offered and factors indicative of the ease of use of the centers by older adults. Evaluations were based upon the age-friendly PHCCs toolkit of the World Health Organization.
RESULTS
Coverage of basic health assessments (such as blood pressure, diabetes, and blood cholesterol) was generally good. However, fewer than half of the PHCCs offered annual comprehensive screening for the common age-related conditions. There was no screening for cancer. Counseling on improving lifestyle was provided by most centers. However, there was no standard protocol for counseling. Coverage of common vaccinations was poor. The layout of most PHCCs and their signage were good, except for lack of Braille signage. There may be issues of access of older adults to PHCCs through lack of public transport, limited parking opportunities, the presence of steps, ramps, and internal stairs, and the lack of handrails.
CONCLUSIONS
Clinical services and the internal environment of PHCCs can be improved. The data will be useful for health-policy makers to improve PHCCs to be more age-friendly.
目的
评估沙特阿拉伯王国利雅得的初级卫生保健中心（PHCCs）为老年人提供的卫生保健服务，以及老年人使用这些中心的便利程度。
方法
2013年10月至2014年1月期间，我们对沙特阿拉伯王国利雅得市随机选取的15家初级卫生保健中心进行了描述性横断面研究。评估重点是所提供临床服务的基本指标以及表明老年人使用这些中心便利程度的因素。评估基于世界卫生组织的适合老年人的初级卫生保健中心工具包。
结果
基本健康评估（如血压、糖尿病和血液胆固醇）的覆盖情况总体良好。然而，不到一半的初级卫生保健中心提供针对常见老年相关疾病的年度综合筛查。没有癌症筛查。大多数中心提供了改善生活方式的咨询。然而，没有咨询的标准方案。常见疫苗接种的覆盖情况较差。除了缺乏盲文标识外，大多数初级卫生保健中心的布局及其标识都很好。由于缺乏公共交通、有限的停车机会、存在台阶、坡道和内部楼梯以及缺乏扶手，老年人前往初级卫生保健中心可能存在问题。
结论
初级卫生保健中心的临床服务和内部环境可以得到改善。这些数据将有助于卫生政策制定者改进初级卫生保健中心，使其对老年人更友好。
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