Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Optometry and Vision Sciences Programme, Center for Rehabilitation and Special Needs, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
Int J Environ Res Public Health. 2022 Jun 15;19(12):7351. doi: 10.3390/ijerph19127351.
South-East Asia (SEA) is the home of the largest number of the world's older population. In this scoping review, we aimed to map the existing enablers and barriers of accessing healthcare services among older adults in SEA countries. Articles that were published from January 2001 until November 2021 were searched in four data sources (PubMed, Web of Science, EBSCO Host and The Cochrane Library). Studies pertaining to the factors which assist or obstruct older Southeast Asian adults from assessing healthcare services were chosen for this scoping review. First, two reviewers screened the titles and abstracts of articles in the data sources. After identifying appropriate articles, the reviewers read them. Data extracted by one reviewer were verified by the other reviewer. The findings were then classified according to Penchansky and Thomas's five domains of access. A total of 19 studies were included in the final scoping review. Accessibility and acceptability were the two factors most often identified as enablers or barriers to older adults from accessing healthcare. Other often mentioned factors were finances, transportation and social/family support. Older adults living in rural areas were especially impacted by these factors. To promote healthy ageing, optimum healthcare and wellbeing among older adults in Southeast Asia, it is extremely important to consider accessibility and acceptability when planning healthcare services.
东南亚（SEA）是世界上老年人口最多的地区。在本次范围综述中，我们旨在绘制东南亚国家老年人获得医疗保健服务的现有促进因素和障碍因素图。从 2001 年 1 月至 2021 年 11 月，我们在四个数据源（PubMed、Web of Science、EBSCO Host 和 The Cochrane Library）中搜索了已发表的文章。选择了与协助或阻碍东南亚老年人评估医疗保健服务的因素有关的研究纳入本次范围综述。首先，两位评审员筛选了数据源中文章的标题和摘要。在确定了合适的文章后，评审员阅读了这些文章。一位评审员提取的数据由另一位评审员进行验证。然后根据彭钱斯和托马斯的五个准入领域对研究结果进行分类。共有 19 项研究纳入了最终的范围综述。可及性和可接受性是被确定为老年人获得医疗保健服务的促进因素或障碍的两个最常见因素。其他常被提及的因素包括财务状况、交通和社会/家庭支持。生活在农村地区的老年人尤其受到这些因素的影响。为了促进东南亚老年人的健康老龄化、获得最佳的医疗保健和幸福感，在规划医疗保健服务时，充分考虑可及性和可接受性非常重要。
