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巴勒斯坦被占领土老年人的医疗保健障碍。

Barriers to Elderly Health Care in the Occupied Palestinian Territories.

机构信息

Nursing Department, Hebron University, West Bank, Palestine.

Mathematics Department, Hebron University, West Bank, Palestine.

出版信息

Int J Soc Determinants Health Health Serv. 2024 Apr;54(2):143-150. doi: 10.1177/27551938231217413. Epub 2023 Nov 28.

Abstract

This study examined different barriers to the access and utilization of primary health care services by the elderly in the occupied Palestinians territories. We collected quantitative data from a larger convenience sample of a national survey of 1299 persons in the occupied Palestinian territories (oPt) that examined the effects of Israel's colonization and its effects on health care delivery between October 2021 and February 2022. The research tool was based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questionnaire. The data was obtained from 76 elderly participants with a mean age of 68.33 years standard deviation (SD = 7.09 years). The majority (75%) reported having at least one chronic health issue and having limited access to health care. They had all finished at least six years of education. The participants claimed having health insurance, while 47.4 percent reported paying for out-of-pocket expenses and medical care was a burden. Access and affordability of health care was a problem for 70 percent of participants. Older persons and their families face access to care issues created by political, geographic, and economic barriers. Poor incomes, war-like conditions, a weak health care system, and a lack of comprehensive care delivery all impact their health.

摘要

本研究考察了巴勒斯坦被占领土老年人获得和利用初级卫生保健服务的不同障碍。我们从 2021 年 10 月至 2022 年 2 月期间对巴勒斯坦被占领土(oPt)的一项全国性调查的更大便利样本中收集了定量数据,该调查研究了以色列殖民化及其对医疗保健提供的影响。研究工具基于医院消费者评估医疗保健提供者和系统(HCAHPS)问卷。数据来自 76 名年龄在 68.33 岁(标准差 [SD]=7.09 岁)的老年参与者。大多数(75%)报告至少有一种慢性健康问题,并且获得医疗保健的机会有限。他们都至少完成了六年的教育。参与者声称有医疗保险,而 47.4%的人报告了自付费用,医疗费用是一种负担。70%的参与者表示医疗保健的可及性和可负担性是一个问题。老年人及其家属面临由政治、地理和经济障碍造成的获得医疗服务的问题。收入低、战争条件、薄弱的医疗保健系统以及缺乏全面的医疗服务都对他们的健康产生影响。

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