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:: Volume 28, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2023) ::
SJKU 2023, 28(3): 101-114 Back to browse issues page
Challenges in the Elderly Care System in Iran: A Qualitative Study
Mohsen Shati1 , Amjad Mohamadi Bolbanabad2 , Mehdi Zokaei3 , Seyran Mohamadi Bolbanabad4 , Ebrahim Ghaderi5 , Ghobad Moradi6 , Hossein Safari7 , Reza Faday Vatan8 , Majid Rahimi9 , Salime Goharinezhad10 , Bakhtiar Piroozi 11
1- Assistant Professor, Mental Health Research Center (MHRC), School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran
2- Assistant Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- MD, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4- MSc, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5- Associate Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
6- Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
7- Assistant Professor, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
8- Associate Professor University of Social Welfare and Rehabilitation Sciences, Aging Research Center, Tehran, Iran
9- Assistant Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
10- Assistant Professor, Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.
11- Assistant Professor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. , Bpiroozi@gmail.com
Abstract:   (1590 Views)
Background and Aim: A comprehensive understanding of the current state of geriatric care in Iran is necessary in order to strengthen and align it for responding to the current and future needs of the elderly in the country. The purpose of this study was to identify the challenges and barriers in the elderly care system in Iran.
Materials and Methods: This was a qualitative study. Forty semi-structured interviews were carried out with various participants involved in providing care to the elderly across the country in 2019. Participants were selected using maximum variation sampling. Using MAXQDA10 software, data were analyzed by the qualitative content analysis method based on six building blocks of health systems developed by the world health organization.
Results: Challenges and barriers in the elderly care system were categorized into six groups: service delivery, health workforce, health information system, access to essential medicine, financing, and governance/leadership. Also, some of the most important challenges of the elderly care system included: absence of a single organization with sufficient power as the steward for providing the elderly services, lack of integration of services for the elderly from primary care to specialized care; shortage or inadequate distribution of skilled manpower; lack of insurance coverage for home care services for the elderly; lack of registry system or database for the elderly; lack of or weakness in elderly-friendly activities in the service centers.
Conclusion: The current elderly care system in Iran faces many challenges in all six building blocks of the World Health Organization. Reforming and redesigning the elderly care system based on the findings of this study is necessary and urgent in order to meet the needs of the elderly in the country.
 
Keywords: Elderly, Challenge, Health service, Iran
Full-Text [PDF 471 kb]   (533 Downloads)    
Type of Study: Original Research | Subject: Health Management Services
Received: 2022/04/4 | Accepted: 2022/09/14 | Published: 2023/07/31
References
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29. Karimi S, Javadi M, Iravani M, Chavoshi E. Investigating health team view points about cost-effective alternatives in elderly caring. J J Sch Public Health Inst Public Health Res. 2013;11(1):71-84.
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32. World Health Organization. World report on ageing and health: World Health Organization; 2015.
33. World Health Organization. Ageing and health. World Health Organization. 2018; Available at: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (Accessed Jun 2020).
34. Sivertsen H, Bjørkløf GH, Engedal K, Selbæk G, Helvik A-S. Depression and quality of life in older persons: a review. Dement Geriatr Cogn Disord. 2015;40(5-6):311-39. [DOI:10.1159/000437299] [PMID]
35. Vanleerberghe P, De Witte N, Claes C, Schalock RL, Verté D. The quality of life of older people aging in place: a literature review. Qual Life Res. 2017;26(11):2899-907. [DOI:10.1007/s11136-017-1651-0] [PMID]
36. Prince MJ, Wu F, Guo Y, Robledo LMG, O'Donnell M, Sullivan R, et al. The burden of disease in older people and implications for health policy and practice. Lancet. 2015;385(9967):549-62. [DOI:10.1016/S0140-6736(14)61347-7] [PMID]
37. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011;10(4):430-9. [DOI:10.1016/j.arr.2011.03.003] [PMID]
38. Banerjee S. Multimorbidity-older adults need health care that can count past one. Lancet. 2015;385(9968):587-9. [DOI:10.1016/S0140-6736(14)61596-8] [PMID]
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41. Beard JR, Officer A, De Carvalho IA, Sadana R, Pot AM, Michel J-P, et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet. 2016;387(10033):2145-54. [DOI:10.1016/S0140-6736(15)00516-4] [PMID]
42. Bloom DE, Chatterji S, Kowal P, Lloyd-Sherlock P, McKee M, Rechel B, et al. Macroeconomic implications of population ageing and selected policy responses. Lancet. 2015;385(9968):649-57. [DOI:10.1016/S0140-6736(14)61464-1] [PMID]
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45. Piroozi B, Abdullah FZ, Mohamadi-Bolbanabad A, Safari H, Amerzadeh M, Rezaei S, et al. Assessing unmet health-care needs of the elderly in west of Iran: A case study. Int. J. Hum. Rights Healthc. 2021 Jun 15;14(5):452-64. [DOI:10.1108/IJHRH-09-2020-0083]
46. Borhaninejad V, NaghibzadehTahami A, Nabavi H, Rashedi V, Yazdi-Feyzabadi V. The utilization of health services and its influences among elderly people in Kerman-2014. J North Khorasan Univ Med Sci. 2015; 7 (2); 229-240. [DOI:10.29252/jnkums.7.2.229]
47. Goharinezhad S, Maleki M, Baradaran HR, Ravaghi H. A qualitative study of the current situation of elderly care in Iran: what can we do for the future?. Glob health action. 2016;9(1):32156. [DOI:10.3402/gha.v9.32156] [PMID] []
48. Firoozeh MD, Abedi HA, Haliza M. Conditions affecting the elderly primary health care in urban health care centers of Iran. Research Journal of Medical Sciences. 2009;3(6):202-13.
49. Safdari R, Sadeghi F, Mohammadiazar M. Aged Care and Services Programs in Iran: Looking at the Performance of Relevant Organizations. payavard Salamat. 2016; 10 (2) :155-166.
50. Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. [DOI:10.1177/1049732305276687] [PMID]
51. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008 Apr;62(1):107-15. [DOI:10.1111/j.1365-2648.2007.04569.x] [PMID]
52. Polit DF, Beck CT. Nursing research: Principles and methods: Lippincott Williams & Wilkins; 2004.
53. World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies: World Health Organization; 2010.
54. Goharinezhad S, Maleki M, Baradaran HR, Ravaghi H. Futures of elderly care in Iran: A protocol with scenario approach. Med J Islam Repub Iran. 2016;30:416.
55. Nayeri ND, Abazari F, Pouraboli B. Challenges in caring for the elderly in Iran: A systematic review. Ethiop. Med. J. 2018;56(2):1-8.
56. Yahyavi Dizaj J, Emamgholipour S, Pourreza A, Nommani F, Molemi S. Effect of Aging on Catastrophic Health Expenditure in Iran During the Period 2007-2016. J Sch Public Health Inst Public Health Res. 2018;16(3):216-27.
57. Mahdizadeh M, Solhi M. Relationship between self-care behaviors and health literacy among elderly women in Iran, 2015. Electron physician. 2018;10(3):6462. [DOI:10.19082/6462] [PMID] []
58. Samimi-Sedeh G, Mahfoozpour S, Hesam S, Tabibi S. The Necessity of Aligning the Human Resources Strategies of Health System with the Mega-Trends of the Older People Health Domain. Depiction of Health. 2018;9(3):172-85.
59. Karimi S, Javadi M, Iravani M, Chavoshi E. Investigating health team view points about cost-effective alternatives in elderly caring. J J Sch Public Health Inst Public Health Res. 2013;11(1):71-84.
60. 30Parsa P, Rezapur-Shahkolai F, Araghchian M, Afshari M, Moradi A. Medical procedure problems from the viewpoint of elderly referrals to healthcare centers of Hamadan: A qualitative study. Iran. J. Ageing. 2017;12(2):146-55. [DOI:10.21859/sija-1202146]
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Shati M, Mohamadi Bolbanabad A, Zokaei M, Mohamadi Bolbanabad S, Ghaderi E, Moradi G, et al . Challenges in the Elderly Care System in Iran: A Qualitative Study. SJKU 2023; 28 (3) :101-114
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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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