Samouei Rahele, Keyvanara Mahmoud
Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2022 Jun 30;11:210. doi: 10.4103/jehp.jehp_1213_21. eCollection 2022.
Given the growing trend of aging and the limited resources of the health system, the lack of long-term prior government planning, and reduced growth of the productive force of society, identifying strategies for planning and action to deal with future aging is very important. In this regard, the study was conducted to identify strategies for dealing with the aging population from the perspective of health system experts.
The qualitative content analysis study was performed on 29 Iranian male and female experts in the aging and health scope from Isfahan, Tehran, Tabriz, and Babol who purposefully participated in the semi-structured interview. Data were classified by qualitative content analysis.
Two concepts emerged according to the participated experts' opinions, regarding the strategies of the Iranian health system in dealing with future aging: "executive policy" strategies, including "design, planning and implementation," "evaluation and standardization," "strengthening demand-driven" and "modeling national and international experiences," "preventive policies" strategy, which includes "Focus on prevention," "Focus on values and competencies," "Educational empowerment," "Knowledge-based empowerment," "Empowerment of age-related groups," "Economic empowerment," and "Social support."
The diversity and breadth of the mentioned strategies indicate the necessity of comprehensive readiness and adaptation of health services to the elderly conditions and characteristics. Purposeful planning and timely implementation of programs and policies to better address the health system with future aging will be possible by using practical strategies.
鉴于老龄化趋势不断加剧、卫生系统资源有限、缺乏政府长期前期规划以及社会生产力增长放缓，确定应对未来老龄化的规划和行动策略非常重要。在此方面，开展本研究以从卫生系统专家的角度确定应对老年人口的策略。
对来自伊斯法罕、德黑兰、大不里士和巴博勒的29名伊朗老龄化与健康领域的男性和女性专家进行了定性内容分析研究，这些专家有意参与了半结构化访谈。数据通过定性内容分析进行分类。
根据参与专家的意见，出现了两个关于伊朗卫生系统应对未来老龄化策略的概念：“执行政策”策略，包括“设计、规划与实施”“评估与标准化”“加强需求驱动”以及“借鉴国家和国际经验”；“预防政策”策略，包括“注重预防”“注重价值观和能力”“教育赋权”“知识赋权”“老年相关群体赋权”“经济赋权”和“社会支持”。
上述策略的多样性和广度表明卫生服务全面准备并适应老年人状况和特征的必要性。通过运用切实可行的策略，有针对性地规划并及时实施各项计划和政策，将有可能更好地应对未来老龄化的卫生系统。
