Utilization and Satisfaction of Community-based Health Care Services among Older Adults

Chris Audrey N Tawacal, Cassey Angelyn P Tulaylay, A. Susano, Denniese Erin S Vergara, Michael John V Flores
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Abstract

The COVID-19 pandemic has a significant impact on the capacity of health systems to continue to provide critical services. As healthcare systems around the world face a growing demand for care for patients with COVID-19, it is vital to maintain preventive and curative services, especially for the most vulnerable populations, the elderly and the elderly living with chronic diseases. The purpose of this study was to determine the level of health service utilization and satisfaction of older adults amidst COVID-19 pandemic. The study used a descriptive- correlational research design that was conducted in a selected barangay in the city of Caloocan. The purposive and snowball sampling method was used to select respondents and must meet the following criteria: elderly between the ages of 60 and 74, and using health care services. The data collection was carried out through a series of questionnaires with an informed consent form through online platforms. Based from the data gathered, the strength of the relationship is indicated by the correlation coefficient with a score of. 795, which is greater than 0.70 shows a high correlation between the two variables. This means that when the level of utilization of community-based services of the respondent is high, their level of satisfaction with health care services increases as well. Overall, it is important to prioritize the level of utilization and satisfaction in community-based healthcare among older adults as it is used as an indicator for measuring the quality of healthcare. The level of utilization among older adults is inclined to their level of satisfaction, in which respondents are highly satisfied with their usage of services in terms of accessibility, availability and affordability of the community-based services. Moreover, demographic profile of respondents has no significant difference, which indicates that respondent’s level of satisfaction in community-based services is affected by their level of utilization of services in their barangay health center. Health services, if used by the elderly, can lead to satisfaction. Therefore, the promotion of the various health services is strongly encouraged to reach not only a few, but the whole population.
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老年人对社区医疗保健服务的利用率和满意度
COVID-19 大流行对医疗系统继续提供关键服务的能力产生了重大影响。由于世界各地的医疗系统都面临着 COVID-19 患者日益增长的医疗需求,因此维持预防和治疗服务至关重要,尤其是针对最脆弱的人群--老年人和患有慢性疾病的老年人。本研究的目的是确定在 COVID-19 大流行中老年人对医疗服务的利用程度和满意度。本研究采用描述性-相关性研究设计,在卡洛坎市选定的一个镇进行。研究采用了有目的的滚雪球式抽样方法来选择受访者,受访者必须符合以下标准:年龄在 60 至 74 岁之间、正在使用医疗保健服务的老年人。数据收集是通过在线平台上的一系列问卷和知情同意书进行的。根据收集到的数据,相关系数为 795,大于 0.0,表明两者之间的关系非常密切。795,大于 0.70,表明两个变量之间存在高度相关性。这意味着,当受访者对社区服务的利用率高时,他们对医疗服务的满意度也会随之提高。总之,必须优先考虑老年人对社区医疗服务的利用率和满意度,因为它是衡量医疗服务质量的一个指标。老年人的利用率与满意度有关,受访者对社区服务的可获得性、可用性和可负担性非常满意。此外,受访者的人口统计学特征没有显著差异,这表明受访者对社区服务的满意程度受其所在镇卫生所服务使用程度的影响。如果老年人使用保健服务,就会产生满意度。因此,强烈建议推广各种保健服务,使其不仅惠及少数人,而且惠及全体人口。
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