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老年人在初级卫生保健中的虚弱:基于地理处理的方法。

Older adults frailty in Primary Health Care: a geoprocessing-based approach.

机构信息

Universidade Federal de Campina Grande. R. Sergio Moureira s/n, Casas Populares. 58900-000 Cajazeiras PB Brasil.

Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2020 Nov;25(11):4439-4450. doi: 10.1590/1413-812320202511.27062018. Epub 2019 Feb 13.

DOI:10.1590/1413-812320202511.27062018
PMID:33175052
Abstract

This paper aimed to analyze the spatial distribution of older adults' frailty in primary health care, spatially identifying areas with a concentration of seniors, comparing the demand for care. This is an analytical study that employed spatial analysis with older adults who are frail or at risk of frailty enrolled in Primary Health Care, distributed in 32 census tracts. Concerning geolocation, we used Google Earth Pro software and "C7 GPS Data app", to elaborate the thematic and cadastral maps Qgis 2.16. In total, 43% of seniors were classified as at risk of frailty, of which 79.5% were female, with a mean age of 75 years. The organization of the services showed an unequal distribution of the facilities in the territory, and the three health care settings present or not in some tracts and the concentration of older adults where services were difficult to access. The spatial analysis pointed out the distribution and concentration areas of frailty, favoring the comparison of social vulnerability with the possible care of health services, supporting planning actions and management of the distribution of establishments or projects to visit those in need. Thus, geoinformation tools can strengthen access to health services and provide better living conditions for seniors.

摘要

本文旨在分析初级保健中老年人脆弱性的空间分布,通过空间识别老年人集中的区域,比较护理需求。这是一项分析性研究,采用空间分析方法,对初级保健中登记的脆弱或有脆弱风险的老年人进行研究,分布在 32 个普查区。关于地理位置,我们使用了谷歌地球专业版软件和“C7 GPS 数据应用程序”,以详细阐述 Qgis 2.16 的专题和地籍地图。共有 43%的老年人被归类为有脆弱风险,其中 79.5%为女性,平均年龄为 75 岁。服务的组织显示出设施在领土上的分布不均,三个卫生保健机构在某些普查区存在或不存在,以及老年人集中的地方,服务难以获得。空间分析指出了脆弱性的分布和集中区域,有利于将社会脆弱性与可能的卫生服务护理进行比较,支持规划行动和管理机构的分布或项目,以访问有需要的人。因此,地理信息工具可以加强对卫生服务的获取,并为老年人提供更好的生活条件。

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