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1- Qom University of Medical Sciences, Qom, Iran
2- Department of Biostatistics and Epidemiology, School of Public Health, Qom University of Medical Sciences, Qom, Iran
3- Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran & Department of Gerontology, School of Medicine, Qom University of Medical Sciences, Qom, Iran ,zaliakbarzade@muq.ac.ir
2- Department of Biostatistics and Epidemiology, School of Public Health, Qom University of Medical Sciences, Qom, Iran
3- Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran & Department of Gerontology, School of Medicine, Qom University of Medical Sciences, Qom, Iran ,
Abstract: (30 Views)
Background and Aim: An age-friendly health system plays an important role in older adults' satisfaction with receiving services. The present study aimed to evaluate compliance with age-friendly indicators in hospitals and primary health care centers and to examine their relationship with the satisfaction of older adult clients.
Methodology: This cross-sectional study was conducted in 2025 in Qom, Iran. Data were collected using the Age-Friendly Hospital Checklist developed by Ahmadi et al., the WHO Age-Friendly Primary Health Care Centers Assessment Checklist, and the Patient Satisfaction Assessment Checklist. All eight hospitals in Qom were included through a census approach, and ten primary health care centers were selected using stratified random sampling. Additionally, 25 older adult visitors from each hospital and 15 from each primary health care center were recruited through convenience sampling. Data were analyzed using SPSS version 26, employing descriptive and inferential statistical tests, including Spearman’s correlation coefficient and the Mann–Whitney U test.
Results: The mean score for compliance with age-friendly indicators was approximately 40 out of 100 in hospitals and 43.16 out of 108 in primary health care centers. Older adults’ satisfaction with the implementation of age-friendly indicators in hospitals was assessed as moderate to relatively high. However, satisfaction in primary health care centers was suboptimal and required greater attention. A statistically significant relationship between compliance with age-friendly indicators and older adults’ satisfaction was observed only in primary health care centers (P = 0/049).
Conclusion: Hospitals in Qom were not in a desirable position regarding the provision of basic age-friendly infrastructure, and the development of specialized geriatric services requires improvement. Furthermore, primary health care centers need effective interventions to improve environmental accessibility, wayfinding systems, and supportive services for older adults.
Methodology: This cross-sectional study was conducted in 2025 in Qom, Iran. Data were collected using the Age-Friendly Hospital Checklist developed by Ahmadi et al., the WHO Age-Friendly Primary Health Care Centers Assessment Checklist, and the Patient Satisfaction Assessment Checklist. All eight hospitals in Qom were included through a census approach, and ten primary health care centers were selected using stratified random sampling. Additionally, 25 older adult visitors from each hospital and 15 from each primary health care center were recruited through convenience sampling. Data were analyzed using SPSS version 26, employing descriptive and inferential statistical tests, including Spearman’s correlation coefficient and the Mann–Whitney U test.
Results: The mean score for compliance with age-friendly indicators was approximately 40 out of 100 in hospitals and 43.16 out of 108 in primary health care centers. Older adults’ satisfaction with the implementation of age-friendly indicators in hospitals was assessed as moderate to relatively high. However, satisfaction in primary health care centers was suboptimal and required greater attention. A statistically significant relationship between compliance with age-friendly indicators and older adults’ satisfaction was observed only in primary health care centers (P = 0/049).
Conclusion: Hospitals in Qom were not in a desirable position regarding the provision of basic age-friendly infrastructure, and the development of specialized geriatric services requires improvement. Furthermore, primary health care centers need effective interventions to improve environmental accessibility, wayfinding systems, and supportive services for older adults.
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