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Study of Comprehensive Geriatric Care in Sharkia Governorate

Received: 10 October 2017    Accepted: 23 October 2017    Published: 15 November 2017
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Abstract

Background: In recent years, there has been a sharp increase in the number of older persons all over the world. The number of people aged 60 years and over is expected to increase to 2 billion by the year 2050. One of the greatest challenges in geriatrics is the provision of optimal comprehensive geriatric care for older adults. Family physicians can improve the early identification of specific problems that are common in the elderly and also shift their focus from disease specific intervention to preventive care. Objectives: To improve the health of geriatrics through identifying health problems among the studied geriatric population in Sharkia governorate and determining the level of the family physicians' knowledge and practice of comprehensive geriatric care in Sharkia governorate. Subjects and methods: A cross-sectional study was conducted, it was conducted in 9 accredited family health centers in Sharkia governorate for one year. The family health centers were selected by stratified random sampling technique from health centers of Sharkia governorate. The sample included 630 elderly person and 52 family physicians. Results: The results of this study declared that the most prevalent self-reported morbidities were, diabetes mellitus (36.7%), hypertension (33.5%) and respiratory disease (20.2%). The results also showed that (76.9%) of the studied family physicians have adequate knowledge about physical problems of the elderly population and (25%) of the studied family physicians have adequate performance in taking personal history, abdominal examination and counseling of the elderly population. Conclusion: The more prevalent self-reported morbidities among the studied geriatric population were, diabetes mellitus, hypertension and respiratory diseases. Most of family physicians had inadequate level of performance as regard physicians performance during dealing with geriatric patients. Recommendations: The study highlighted the need to promote geriatric health care services, regular health checkup and social support by people. Continuous training of family physicians specially in comprehensive geriatric care for providing high quality of care for elderly population.

Published in Journal of Family Medicine and Health Care (Volume 3, Issue 4)
DOI 10.11648/j.jfmhc.20170304.11
Page(s) 63-74
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Comprehensive Geriatric Care, Geriatric Problems, Family Physicians

References
[1] WHO (2015): What are the public health implications of global ageing? http://www.who.int/features/qa/42/en/index.html.
[2] El-Zanaty, F. and Ann Way (2009): Egypt Demographic and Health Survey 2008, Cairo, Egypt: Ministry of Health.
[3] Jadhav, V. S.; Mundada, V. D. and Gaikwad, A. V. (2012): A study of morbidity profile of geriatric population in the field practice area of rural health training centers. Medical college, AURANGABAD, IOSR Journal of Pharmacy, Mar.-Apr. 2012, Vol. 2(2) p: 184-188.
[4] Joshi, K.; Kumar, R. and Avasthi, A. (2003): Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. International Journal of Epidemiology 2003; 32:978-987.
[5] Ellis, G.; Whitehead, M. A.; O’Neill, D.; Langhorne, P. and Robinson, D. (2011): Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, Issue 7. Art. No.: CD006211. DOI.CD006211.pub2.
[6] Boyd, C. M. and Fortin M. (2011): Future of multi morbidity research: How should understanding of multi morbidity inform health system design? Public Health Reviews Volume 32, pages 451–474.
[7] Reuben, D. B.; Frank, J. C.; Hirsch, S. H.; McGuigan, K. A. and Maly, R. C. (2005): A randomized clinical trial of outpatient comprehensive geriatric assessment coupled with an intervention to increase adherence to recommendations. J Am Geriatr Soc; 47: 269–276.
[8] Karle, M.; Robert, G.; Zylstra, E. D. and John, B. (2007): The Geriatric Patient: A Systematic Approach to Maintaining Health. University of Tennessee College of Medicine, Chattanooga, Tennessee Am Fam Physician. Volume 61, Issue 4, pages1089 -1104.
[9] Xakellis, G. C. (2008): Who provides care to Medicare beneficiaries and what settings do they use? Am Board Fam Pract. Volume 17, Issue 5, pages 384–387.
[10] Landefeld, C. S. (2003): Improving health care for older persons. Ann Intern Med. Volume 139, Issue 5, pages 421–424.
[11] Elsawy, B. and Kime, H. (2011): The Geriatric Assessment Methodist Charlton Medical Center, Dallas, Texas, Am Fam Physician. Volume 83, Issue 1, pages 48-56.
[12] Practice guideline for family physician (2000): ministry of health and population, Egypt, volume 1 & Volume 3.
[13] Current Population Survey, Annual Social and Economic supplement (2010): related tables on the U.S. Census Bureau web site.
[14] NEHS, (2008):National elderly health survey sultanate of Oman, world health survey, directorate of research and studies, directorate general of: planning, Ministry of Health, WHO 2008, www.moh.gov.om.
[15] Surekha, K.; Ruchi, J. and Jayanti, S. (2007): Morbidity profile of elderlypersons. JK Science, April-June 2007; 9 (2); 87-89.
[16] Kavita, B.; Bipin, P. and Geeta, K. (2011): study of health profile of resident of Geriatric homein Ahmed Abad district, National Journal of Community Medicine Vol 2 Issue 3 Oct-Dec 2011, p378-p382.
[17] Al-Nozha, M. M.; Al-Maatouq, M. M. and Al-Mazron, Y. Y. (2004): Diabetes mellitus in Saudi Arabia Med J 2004; 25(11): 03-10.
[18] Ibrahim, N. K.; Ghabrah, T. M. and Qadi, M. (2008):Morbidity profile of elderly attended/ admitted in Jeddah health facilities, Saudi Arabia, Department of Family and community Medicine, king Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia.
[19] Kumar, R.; Ahlawat, S. K. and Singh, M. M, (2000): Time trends in prevalence of risk factors of cardiovascular diseases in Chandigarh. LAPSM' 3rd conference (NZ) Chandigarh.
[20] Bhatia, S. P.; Swami, H. M. and Thakur, J. S. (2007): A study of health problems and Loneliness Among the elderly in Chandigrah, IJCM, OCT 2007; 32, (4); 255-258.
[21] Prakash, R.; Choudhary, S. K. and Singh, U. S. (2004):A Study of Morbidity Pattern among Geriatric Population in an Urban Area of Udaipur, Rajasthan. UCM. 2004; 29 (1): 35-40.
[22] Wang, J. K.; Su, T. P. and Chou, P. (2010): Sex differences in prevalence and risk indicators of geriatric depression: the Shih-Pai community based survey. Journal of the Formosan Medical Association, 2010, 109:345-353.
[23] Eman, M. and Mohamed, A. (2011):Depression among elderly attending geriatric clubs in Assiut City, Egypt, Journal of American Science, 2011: 7 (11).
[24] Almogue, A.; Weiss, A.; Marcus, E. and Beloosesky, Y. (2010): Attitudes and knowledge of medical and nursing staff toward elder abuse. Arch GerontolGeriatr; 51 (1): 86-91.
[25] Mowe, M.; Bosaeus, I.; Hojgaard, H. and Kondrup, J. (2010): Insufficient nutritional knowledge among health care workers? Clinical Nutrition.; 27:196-202.
[26] Pavia, M.; Foresta, M. R.; Carbone, V. and Angelillo, I. F. (2010): Influenza and pneumococcal immunization in the elderly: knowledge, attitudes, and practices among general practitioners in Italy. Public Health; 117 (3): 202-227.
[27] Ranjbar, S. A. and Bavafa, B. (2007): Physicians' Knowledge Regarding Nutritional Management in Children with Diarrhea: a Study in Kerman, Iran (I. R.), Pakistan Journal of Nutrition 6 (6): 638-640.
[28] Arzu, U.; Cobek, P. U.; Alibaş, H.; Kılıç, I.; Sari, M.; Karakoç, E. and Akbarov, A. (2008): doctors knowledge level and attitudes concerning avian influenza, Marmara Medical Journal; 21 (2); 118-126.
[29] Akl, O. A.; Khairy, A. E.; Abdel-Aal, N. M.; Deghedi, B. S. and Amer, Z. F. (2006): Knowledge, Attitude, Practice and Performance of Family Physicians Concerning Holistic Management of Hypertension, J. Egypt Public Health Assoc. Vol. 81 No. 5.
[30] NourEldein, H.; Mansour, N. and Mohamed, S. (2013): Knowledge, Attitude and Practice of Family Physicians Regarding Smoking Cessation Counseling in Family Practice Centers, Suez Canal University, Egypt. J Family Med Prim Care.; 2 (2): 159–163.
[31] Claire, E. H. (2004): Improving Health Care Providers’ Knowledge, Attitudes, and Practices in Reproductive Health in Rural Romania, Project Concern International/Romania.
[32] Abolfotouh, M. A.; Soliman, L. A.; Abolfotouh, S. M. and Raafat, M. (2011): Knowledge and Practice of PHC Physicians toward the Detection and Management of Hypertension and Other CVD Risk Factors in Egypt, International Journal of Hypertension, Volume 2011, Article ID 983869, 6 pages.
[33] Goulet, F.; Jacques, A.; Gagnon, R.; Racette, P. and Sieber, W. (2007): Assessment of family physicians' performance using patient charts: interrater reliability and concordance with chart-stimulated recall interview. Eval Health Prof; 30 (4): 376-392.
[34] Van Harrison, R.; Janz, N. K.; Wolfe, R. A.; Tedeschi, P. J.; Stross, J. K.; Huang, X. and McMahon, L. F. (2003): Characteristics of primary care physicians and their practices associated with mammography rates for older women. Cancer.; 98 (9): 1811-21.
[35] Choudhry, N. K.; Fletcher, R. H. and Soumerai, S. B. (2005): Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 15; 142 (4): 260-73.
Cite This Article
  • APA Style

    Mohammed Nabil Mahmoud Abo-Elela, Osama Abdel-Aziz Mohammed Fakher, Mahmoud Elsayed Abd-Elaty. (2017). Study of Comprehensive Geriatric Care in Sharkia Governorate. Journal of Family Medicine and Health Care, 3(4), 63-74. https://doi.org/10.11648/j.jfmhc.20170304.11

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    ACS Style

    Mohammed Nabil Mahmoud Abo-Elela; Osama Abdel-Aziz Mohammed Fakher; Mahmoud Elsayed Abd-Elaty. Study of Comprehensive Geriatric Care in Sharkia Governorate. J. Fam. Med. Health Care 2017, 3(4), 63-74. doi: 10.11648/j.jfmhc.20170304.11

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    AMA Style

    Mohammed Nabil Mahmoud Abo-Elela, Osama Abdel-Aziz Mohammed Fakher, Mahmoud Elsayed Abd-Elaty. Study of Comprehensive Geriatric Care in Sharkia Governorate. J Fam Med Health Care. 2017;3(4):63-74. doi: 10.11648/j.jfmhc.20170304.11

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  • @article{10.11648/j.jfmhc.20170304.11,
      author = {Mohammed Nabil Mahmoud Abo-Elela and Osama Abdel-Aziz Mohammed Fakher and Mahmoud Elsayed Abd-Elaty},
      title = {Study of Comprehensive Geriatric Care in Sharkia Governorate},
      journal = {Journal of Family Medicine and Health Care},
      volume = {3},
      number = {4},
      pages = {63-74},
      doi = {10.11648/j.jfmhc.20170304.11},
      url = {https://doi.org/10.11648/j.jfmhc.20170304.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20170304.11},
      abstract = {Background: In recent years, there has been a sharp increase in the number of older persons all over the world. The number of people aged 60 years and over is expected to increase to 2 billion by the year 2050. One of the greatest challenges in geriatrics is the provision of optimal comprehensive geriatric care for older adults. Family physicians can improve the early identification of specific problems that are common in the elderly and also shift their focus from disease specific intervention to preventive care. Objectives: To improve the health of geriatrics through identifying health problems among the studied geriatric population in Sharkia governorate and determining the level of the family physicians' knowledge and practice of comprehensive geriatric care in Sharkia governorate. Subjects and methods: A cross-sectional study was conducted, it was conducted in 9 accredited family health centers in Sharkia governorate for one year. The family health centers were selected by stratified random sampling technique from health centers of Sharkia governorate. The sample included 630 elderly person and 52 family physicians. Results: The results of this study declared that the most prevalent self-reported morbidities were, diabetes mellitus (36.7%), hypertension (33.5%) and respiratory disease (20.2%). The results also showed that (76.9%) of the studied family physicians have adequate knowledge about physical problems of the elderly population and (25%) of the studied family physicians have adequate performance in taking personal history, abdominal examination and counseling of the elderly population. Conclusion: The more prevalent self-reported morbidities among the studied geriatric population were, diabetes mellitus, hypertension and respiratory diseases. Most of family physicians had inadequate level of performance as regard physicians performance during dealing with geriatric patients. Recommendations: The study highlighted the need to promote geriatric health care services, regular health checkup and social support by people. Continuous training of family physicians specially in comprehensive geriatric care for providing high quality of care for elderly population.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Study of Comprehensive Geriatric Care in Sharkia Governorate
    AU  - Mohammed Nabil Mahmoud Abo-Elela
    AU  - Osama Abdel-Aziz Mohammed Fakher
    AU  - Mahmoud Elsayed Abd-Elaty
    Y1  - 2017/11/15
    PY  - 2017
    N1  - https://doi.org/10.11648/j.jfmhc.20170304.11
    DO  - 10.11648/j.jfmhc.20170304.11
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
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    EP  - 74
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20170304.11
    AB  - Background: In recent years, there has been a sharp increase in the number of older persons all over the world. The number of people aged 60 years and over is expected to increase to 2 billion by the year 2050. One of the greatest challenges in geriatrics is the provision of optimal comprehensive geriatric care for older adults. Family physicians can improve the early identification of specific problems that are common in the elderly and also shift their focus from disease specific intervention to preventive care. Objectives: To improve the health of geriatrics through identifying health problems among the studied geriatric population in Sharkia governorate and determining the level of the family physicians' knowledge and practice of comprehensive geriatric care in Sharkia governorate. Subjects and methods: A cross-sectional study was conducted, it was conducted in 9 accredited family health centers in Sharkia governorate for one year. The family health centers were selected by stratified random sampling technique from health centers of Sharkia governorate. The sample included 630 elderly person and 52 family physicians. Results: The results of this study declared that the most prevalent self-reported morbidities were, diabetes mellitus (36.7%), hypertension (33.5%) and respiratory disease (20.2%). The results also showed that (76.9%) of the studied family physicians have adequate knowledge about physical problems of the elderly population and (25%) of the studied family physicians have adequate performance in taking personal history, abdominal examination and counseling of the elderly population. Conclusion: The more prevalent self-reported morbidities among the studied geriatric population were, diabetes mellitus, hypertension and respiratory diseases. Most of family physicians had inadequate level of performance as regard physicians performance during dealing with geriatric patients. Recommendations: The study highlighted the need to promote geriatric health care services, regular health checkup and social support by people. Continuous training of family physicians specially in comprehensive geriatric care for providing high quality of care for elderly population.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Department of Community Medicine and Industrial Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Department of Community Medicine and Industrial Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Department of Community Medicine and Industrial Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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