Middle Eastern Journal of Disability Studies

fa ویژگی‌ها و مؤلفه‌های مراکز بهداشتی و درمانی دوستدار سالمند: مطالعهٔ کیفی Factors and Implications of Elder Friendly Medical Centers: A Qualitative Research علوم اجتماعی Social Sciences مقاله پژوهشی اصیل Original Research Article <div style="text-align: justify;">زمینه و هدف: ایجاد مراکز بهداشتی و درمانی دوستدار سالمند در راستای ارتقای سلامت همه‌جانبهٔ سالمندان حائز اهمیت است. پژوهش حاضر با هدف واکاوی ویژگی‌های مراکز درمانی دوستدار سالمند از منظر سالمندان انجام شد.  روش‌بررسی: این تحقیق به‌روش کیفی صورت گرفت. داده‌ها ازطریق نمونه‌گیری هدف‌مند و با حداکثر تنوع مشارکت‌کنندگان از لحاظ جنسیت و سطوح اقتصادی و اجتماعی و نیز با مشارکت سی نفر از سالمندان بیشتر از ۶۵ سال و مصاحبهٔ عمیق اکتشافی جمع‌آوری شد. در مرحلهٔ بعد، استخراج محتوای مصاحبه‌ها به‌شیوهٔ کدگذاری و تحلیل تماتیک در قالب مقولات اصلی و فرعی انجام پذیرفت.  یافته‌ها: یافته‌های مطالعه نشان داد که از نظر سالمندان، مراکز دوستدار سالمند دو ویژگی محیط‌ حمایت‌گر و محیط‌ مراقبت‌گر دارد. ریز مقولات‌ و مؤلفه‌های محیط‌ حمایت‌گر شامل حمایت اطلاعاتی، حمایت قانونی، حمایت خدماتی، حمایت عاطفی، حمایت تأمینی، حمایت کالبدی و محیطی و حمایت اجتماعی می‌شود. همچنین مقولات فرعی محیط مراقبت‌گر مشتمل بر ایمن‌سازی بهداشتی، ارتقای سلامت، دقت درمانی و پاسخ‌دهی فعال است.  نتیجه‌گیری: نظام سلامت و درمان باید نیازها و انتظارات سالمندان ناتوان و کم‌توان را به‌عنوان بخش بزرگی از جامعهٔ مصرف‌کنندهٔ خدمات درمانی و بهداشتی کشور در آیندهٔ نزدیک ملاحظه کند و توجه به افراد سالمند را در ارائهٔ خدمات بهداشتی و درمانی این گروه مدنظر قرار دهد.   </div> <div style="text-align: justify;">Background & Objective: Providing elder-friendly health care centers is serious for multidimensional health promotion of the elderly. Iranian society encounter with elderly overpopulation in comparison with the whole population of society, during the coming years. The aim of the present research is to study the significant factors of such a health care centers from elders’ viewpoints besides their expectations and lived experiences from these centers. Elders’ welfare is an important affair, which should be obtained through planning for future health services. Methods: Qualitative methodology was used in this research. In order to understand participants’ lived-experience through analyzing their interviews, the “phenomenology” was applied as a proper method during the study. Collecting data is through purposeful sampling and deep semi-structured interviews with 30 elders above 65 years old. For purposeful sampling, the participants were selected with recognition to these factors: elders above 65 years old who wanted to participate the face-to-face interview with the researcher, they also have to be able to express their lived experience. Any cognitive difficulties, psychosis, and any severe or emergent disease were important filters during the process of participant selection. In fact, they have to lack all of the mentioned difficulties. Another important factor for purposeful sampling in this research was that the participants should had the experience of attendance at medical centers. Maximum variation interms of gender and social class was applied among participants. Then, thematic analysis was used to analyze data extracted from face to face interviews with participants. Results: Results showed that elder-friendly health centers had two significant indicators from elders’ viewpoints: “protective environment” and “attentive environment”. The protective environment includes “information protection”, “legal protection”, “service protection”, “emotional protection”, “security protection”, “physical protection”, “environmental protection”, and “social protection”. Interms of information protection, adults concentrate on promotion of sanitation information, education of self-caring, and updating caring staffs’ information. Elders who were interviewed during the study believed that extending the quality of medical services, protecting patients’ security and supplying rehabilitation equipment were part of their protective needs. From their point of view, emotional protection such as empathy, sympathy, stress deduction during important surgeries, and security protection especially wholly insurance, treatment expense deduction and equal welfare attainments are part of their protection needs. Besides the important factors mentioned above, participants referred to factors such as treatment environments and easy arrive to medical centers as part of their environmental protection needs. Attentive environment also contains sanitation security, health promotion, medical accuracy and active answering. Conclusion: Recognizing needs of elders and their viewpoints as patient stratum of society is an important affair for new policymaking in health system. Therefore, the health system must be attentive to elder-oriented services because of their needs and expectations. Understanding elders’ sanitation and health care needs and framing a practical plan for caring them would be helpful in the process of elders’ health treatment.</div> مراکز درمانی, سالمند, دوستدار سالمند, نظام سلامت. Health care centers, elderly, elder-friendly, Health system. 70 70 http://jdisabilstud.org/browse.php?a_code=A-10-957-1&slc_lang=fa&sid=1 Khalil Alimohammadzadeh خلیل علی محمدزاده dr_khalil_amz@yahoo.com 100319475328460038733 100319475328460038733 Yes North Tehran Branch, Islamic Azad University;Health Economics Policy Research Center, Tehran Medical Sciences Branch, Islamic Azad University دانشگاه آزاد اسلامی واحد تهران شمال؛ مرکز تحقیقات سیاست‌گذاری اقتصاد سلامت، دانشگاه علوم‌پزشکی آزاد اسلامی تهران Seyyedeh Fatemeh Mohebbi سیده فاطمه محبی Mohebi_sf@yahoo.com 100319475328460038734 100319475328460038734 No Islamic Azad University, Central Tehran Branch دانشگاه آزاد اسلامی، واحد تهران مرکز Somayyeh Bolboli سمیه بلبلی bolboli.s@ut.ac.ir 100319475328460038735 100319475328460038735 No Tehran University دانشگاه تهران Seyyed Mohammad Mohebbi سیدمحمد محبی sm.mohebi@yahoo.com 100319475328460038736 100319475328460038736 No Islamic Azad university, Yadegare Imam Branch دانشگاه آزاد اسلامی، واحد یادگار امام (شهرری)