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

Chris Audrey N Tawacal; Cassey Angelyn P Tulaylay; Angelyne Nhicole A Susano; Denniese Erin S Vergara; Michael John V Flores

doi:10.58545/jrcnp.v2i1.113

Authors

Chris Audrey N Tawacal Manila Central University
Cassey Angelyn P Tulaylay Manila Central University
Angelyne Nhicole A Susano Manila Central University
Denniese Erin S Vergara Manila Central University, Philippines
Michael John V Flores Manila Central University, Philippines

DOI:

https://doi.org/10.58545/jrcnp.v2i1.113

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.

Keywords:

Older adults, Utilization of Community-based, Health care, Satisfaction

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References

Abah, V. O. (2023). Poor Health Care Access in Nigeria: A Function of Fundamental Misconceptions and Misconstruction of the Health System. IntechOpen. doi: https://doi.org/10.5772/intechopen.108530

Acharya, S., Ghimire, S., Jeffers, E., & Shrestha, N. (2019, February 15). Health Care Utilization and Health Care Expenditure of Nepali Older Adults. https://doi.org/10.3389/fpubh.2019.00024

Barnes, M., Abhyankar, P., Dimova, E., & Best, C. (2020). Associations between body dissatisfaction and self-reported anxiety and depression in otherwise healthy men: A systematic review and meta-analysis. PloS one, 15(2), e0229268. https://doi.org/10.1371/journal.pone.0229268

Calderón-Larrañaga, A., Vetrano, D. L., Onder, G., Gimeno-Feliu, L. A., Coscollar-Santaliestra, C., Carfí, A., ... & Fratiglioni, L. (2017). Assessing and measuring chronic multimorbidity in the older population: a proposal for its operationalization. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 72(10), 1417-1423. https://doi.org/10.1093/gerona/glw233

Caner, R., & Cilasun, S. (2015). Health Care Services and the Elderly: Utilization and Satisfaction in the Aftermath of the Turkish Health Transformation Program. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343442/

Centers for Disease Control and Prevention. (2021). Essential Health Services.https://www.cdc.gov/coronavirus/2019-ncov/global-covid-19/essential-health-services.html

Corallo, B. & Tolbert, J. (2020). Impact of Coronavirus on Community Health Centers. https://www.kff.org/coronavirus-covid-19/issue-brief/impact-of-coronavirus-on-community-health-centers/

Davis, B. (2021). What are 5 ways to validate an Instruments validity? MVOrganizing. https://www.mvorganizing.org/what-are-5-ways-to-validate-a-instruments-validity/#What_is_validity_of_instrument_in_research_methodology

Doubova, S. V., Leslie, H. H., Kruk, M. E., Pérez-Cuevas, R., & Arsenault, C. (2021). Disruption in essential health services in Mexico during COVID-19: an interrupted time series analysis of health information system data. In BMJ Global Health (Vol. 6, Issue 9, p. e006204). BMJ. https://doi.org/10.1136/bmjgh-2021-006204

Fisher, K. et al. (2021). Effect of socio-demographic and health factors on the association between multimorbidity and acute care service use: population-based survey linked to health administrative data. https://doi.org/10.1186/s12913-020-06032-5

Fulmer, T., Reuben, D. B., Auerbach, J., Fick, D. M., Galambos, C., & Johnson, K. S. (2021). Actualizing Better Health And Health Care For Older Adults: Commentary describes six vital directions to improve the care and quality of life for all older Americans. Health Affairs, 40(2), 219-225. https://doi.org/10.1377/hlthaff.2020.01470

Garrison Jr, L. P., Pauly, M. V., Willke, R. J., & Neumann, P. J. (2018). An overview of value, perspective, and decision context—a health economics approach: an ISPOR Special Task Force report [2]. Value in health, 21(2), 124-130. https://doi.org/10.1016/j.jval.2017.12.006

Jaca, A., Malinga, T., Iwu-Jaja, C. J., Nnaji, C. A., Okeibunor, J. C., Kamuya, D., & Wiysonge, C. S. (2022). Strengthening the health system as a strategy to achieving a universal health coverage in underprivileged communities in Africa: a scoping review. International journal of environmental research and public health, 19(1), 587. https://doi.org/10.3390/ijerph19010587

Kalseth, J., & Halvorsen, T. (2020) Health and care service utilization and cost over the life-span: a descriptive analysis of population data. BMC Health Serv Res. https://doi.org/10.1186/s12913-020-05295-2

Karra, M., Fink, G., & Canning, D. (2017). Facility distance and child mortality: a multi-country study of health facility access, service utilization, and child health outcomes. International journal of epidemiology, 46(3), 817-826. https://doi.org/10.1093/ije/dyw062

Liu, J. X., Goryakin, Y., Maeda, A., Bruckner, T., & Scheffler, R. (2017). Global health workforce labor market projections for 2030. Human resources for health, 15, 1-12. https://doi.org/10.1186/s12960-017-0187-2

Manuel, J. I. (2018). Racial/ethnic and gender disparities in health care use and access. Health services research, 53(3), 1407-1429. https://doi.org/10.1111/1475-6773.12705

Margelisch, K., Schneewind, K. A., Violette, J., & Perrig-Chiello, P. (2017). Marital stability, satisfaction and well-being in old age: variability and continuity in long-term continuously married older persons. Aging & mental health, 21(4), 389-398. https://doi.org/10.1080/13607863.2015.1102197

O’Sullivan, B. (2022). Challenges and innovations in access to community‐based rural primary care services during the Covid‐19 pandemic in Australia. The International Journal of Health Planning and Management, 37, 115-128. https://doi.org/10.1002/hpm.3598

Organisation for Economic Co-operation and Development. (2020). Beyond containment: Health systems responses to COVID-19 in the OECD. https://oecd.org/coronavirus/policy-responses/beyond-containment-health-systems-responses-to-covid-19-in-the-oecd-6ab740c0/

Pandey, K., Yang, F., Cagney, K., Smieliauskas, F., Meltzer, D., Ruhnke & Gregory W. (2019). The impact of marital status on health care utilization among Medicare beneficiaries, Medicin. https://pubmed.ncbi.nlm.nih.gov/30896632

Philippine Red Cross. (2021). Health Services. https://redcross.org.ph/health-service/

Ratna, H. (2019). The importance of effective communication in healthcare practice. Harvard Public Health Review, 23, 1-6. https://www.jstor.org/stable/48546767

Siegler, Eugenia L et al. (2015) “Community-Based Supports and Services for Older Adults: A Primer for Clinicians.” Journal of geriatrics https://doi.org/10.1155/2015/678625.

Tesch-Römer, C., & Wahl, H. W. (2017). Toward a more comprehensive concept of successful aging: disability and care needs. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 72(2), 310-318. https://doi.org/10.1093/geronb/gbw162

Tsugawa, Y., Jena, A. B., Figueroa, J. F., Orav, E. J., Blumenthal, D. M., & Jha, A. K. (2017). Comparison of hospital mortality and readmission rates for Medicare patients treated by male vs female physicians. JAMA internal medicine, 177(2), 206-213. https://doi.org/10.1001/jamainternmed.2016.7875

Ulep, V. G. T., & Casas, L. D. D. (2021). Regional health integration and cooperation in the Philippines (No. 2021-16). PIDS Discussion Paper Series. https://www.econstor.eu/handle/10419/241064

Valaitis, R., Cleghorn, L., Ploeg, J. et al, (2020). Disconnected relationships between primary care and community-based health and social services and system navigation for older adults. BMC Family Practice. https://doi.org/10.1186/s12875-020-01143-8

Weber, A. (2020). Research utilization is the connective tissue between evidence and action. R&E Search for Evidence. https://researchforevidence.fhi360.org/research-utilization-is-the-connective-tissue-between-evidence-and-action

World Health Organization. (2020). COVID-19 global risk communication and community engagement strategy, December 2020-May 2021: interim guidance, 23 December 2020 (No. WHO/2019-nCoV/RCCE/2020.3). World Health Organization. https://iris.who.int/bitstream/handle/10665/338057/WHO-2019-nCoV-RCCE-2020.3-eng.pdf

World Health Organization. (2020, June 1). Maintaining essential health services: operational guidance for the COVID-19 context. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/related-health-issues

Zavras, D., Zavras, A.I., Kyriopoulos, II. et al. (2016). Economic crisis, austerity and unmet healthcare needs: the case of Greece. BMC Health Services. https://doi.org/10.1186/s12913-016-1557-5