Karin Željka, Matković Roberta, Matijaca Danira, Guzzi Pietro Hiram, Angelopoulou Efthalia, Kiskini Chrysanthi, Stevović Danica, Martinović Vlatka, Luštrek Mitja, Vukojević Katarina
Teaching Institute for Public Health of Split Dalmatia County, Croatia.
University of Split School of Medicine, Croatia.
Gerontol Geriatr Med. 2024 Sep 15;10:23337214241280047. doi: 10.1177/23337214241280047. eCollection 2024 Jan-Dec.
In our study aimed at improving the healthcare system for the aging population, we compared healthcare quality evaluations between 96 older individuals and 30 healthcare providers in Split-Dalmatia County (Croatia). Using nonparametric analyses such as the Mann-Whitney and Wilcoxon tests on Likert scale questionnaire scores, we found most participants highlighted challenges such as healthcare affordability, long wait times, reliance on private care, poor public transportation, and insufficient rural healthcare services. Healthcare providers rated these quality indicators even more negatively. Both groups rated healthcare for dementia patients notably lower, while emergency response, treatment quality, and hospitalization ease were generally rated positively. The heightened awareness among healthcare providers raises the question: why is there a significant delay between recognizing these problems and implementing effective solutions to address them?
在我们旨在改善老年人口医疗保健系统的研究中，我们比较了克罗地亚斯普利特-达尔马提亚县96名老年人和30名医疗服务提供者对医疗质量的评估。通过对李克特量表问卷得分进行非参数分析，如曼-惠特尼检验和威尔科克森检验，我们发现大多数参与者强调了医疗保健可负担性、长时间等待、依赖私人护理、公共交通不便以及农村医疗服务不足等挑战。医疗服务提供者对这些质量指标的评价甚至更低。两组对痴呆症患者的医疗保健评价都明显较低，而应急响应、治疗质量和住院便利性总体评价为正面。医疗服务提供者认识的提高引发了一个问题：为什么在认识到这些问题与实施有效解决方案来解决这些问题之间存在显著延迟？
