چکیده:
In recent years a variety of system models for providing community based health care services for the elderly has been envisioned and implemented in the developed countries which meet the special care needs of different groups of elders. In Iran as a developing country, a considerable percentage of old people live in the society need to receive specialized care and health services. In order to respond to these care needs, developing and implementing health and social care systems with consideration of relevant factors such as: existing and available resources and facilities (financial and human resources); social and cultural issues and characteristics of each groups of elders(healthy elders, frails,home bounds, …) seem to be necessary. At the development phase of the care model in this study Ellowing methodological triangulation must be considered: 1) Comprehensive review of current and related literature, 2) Conduction of an ethnographic study on a number of Tehranian elders and their families, 3) Seeking opinions of a group of experts on this issue using nominal group technique, and analysis as well as synthesis of the collected data were employed to develop a community based care system for elders. The preliminary results of employing this care system and examination of expected outcomes such as promoting quality of life and expectancy in elders reflects the efficiency of this system, although further complementary studies and particularly cost benefit analysis are strongly recommended.
خلاصه ماشینی:
(11) The main objective for conduction of ethnographic study was to sub- stantiate the following preselected categories of data: - Health believes - Health service usage - Attitudes and practices about health attainment and maintenance - Familial and social relationships - Social and recreational activities - Daily living activities - Attitudes and practices about sleep and rest - Nutritional habits - Physical exercise - Economical and welfare situations - Spiritual believes and practices Because we were interested to col- lect data about above mentioned categories in both sexes and in both healthy and unhealthy conditions; thus we adopted a proposive sam- pling method as follows: a) Sampling from elders with good physical and mental health condition (who didn't have been involved in specific disabling conditions Health and were self reliant in their ADLs) were done using health assessment records in seniors' cultural center of 13th district municipality located in Khayam Park.
List of invited experts to panel were as follows: - Assistant professor of nursing department in University of Social Welfare and Rehabilitation Sciences (USWR) - Psycho- geriatrician (faculty mem- ber of USWRS) - Hospital manager and assistant professor of USWRS - Deputy of research in USWRS - Deputy of treatment and rehabili- tation in USWRS - PhD in clinical psychology, faculty member of USWRS - Speech therapist with master degree, faculty member of USWRS - Occupational therapist with mas- ter degree, faculty member of USWRS - Associate professor, Ph. D in soci- ology - Representative of family office in deputy of health in Ministry of Health and Medical Education - Administrator of seniors' commu- nity center (affiliated with artistic-cul- tural organization of 13th district municipality) - PhD in social work, faculty mem- ber of USWRS - Representative from deputy of Rehabilitation in Welfare Organization (elders section) - Head of community-based reha- bilitation headquarter in USWRS The main topics for discussion in the panels were determined with consideration of relevant literature and consultation with experts in this field.