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Challenges in the Elderly Care System in Iran: A Qualitative Study



Shati M1 ; Mohamadibolbanabad A2 ; Zokaei M2 ; Mohamadibolbanabad S2 ; Ghaderi E2 ; Moradi G2 ; Safari H3 ; Vatan RF4 ; Rahimi M5 ; Goharinezhad S6 ; Piroozi B2
Authors
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Authors Affiliations
  1. 1. Mental Health Research Center (MHRC), School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
  3. 3. Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
  4. 4. University of Social Welfare and Rehabilitation Sciences, Aging Research Center, Tehran, Iran
  5. 5. Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran

Source: Scientific Journal of Kurdistan University of Medical Sciences Published:2023

Abstract

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. © 2018 the Author (s).
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