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1- Tabriz University of Medical Sciences, Tabriz, Iran.
2- Tabriz University of Medical Sciences, Tabriz, Iran. ,haidarnadrian@gmail.com
3- Zanjan University of Medical Sciences, Zanjan, Iran.
2- Tabriz University of Medical Sciences, Tabriz, Iran. ,
3- Zanjan University of Medical Sciences, Zanjan, Iran.
Abstract: (169 Views)
Objectives: Today, integrated and comprehensive care of older people is one of the most important issues in health systems. The present study aimed to evaluate the Integrated Geriatric Care Program for older adults in a health center in Yazd City, Iran.
Methods & Materials: The current research was an evaluation study on the Integrated Geriatric Care Program based on the RE-AIM model. Data were collected in two phases. First, data on all program indicators from 2017 to 2023 were extracted from the electronic health records of older adults in the health center and were then forecasted by applying the time-series analysis. In phase two, all healthcare providers in the selected health center completed a RE-AIM-based researcher-made checklist. R software for windows version 4.2.2 was used for data analysis.
Results: In phase one, the trend of program indicators from 2017 to 2023, except for 2021 and 2022, has been gradually increasing. The rate of Complete Care Indicator in 2023 was 15.4%, only. In phase 2, the mean ± standard deviation of the normalized evaluation scores (out of 100) for the RE-AIM domains were as follows: reach = 34.26 ± 15.28, effectiveness = 49.51±12.08, adoption = 58.64±32.41, implementation = 72.11±9.98, and maintenance = 55.71±12.26. Friedman's test showed a significant difference among the scores of different dimensions (P=0.002).
Conclusion: Our results showed that the indicators of the Integrated Geriatric Care Program were weak in the dimensions of reach and effectiveness. In total, the evaluation of other dimensions of this program was fairly favorable. The results of our study seem to be helpful in identifying the challenges of the program. Therefore, older adults’ health stakeholders should pay more attention to revisiting healthcare programs for older persons.
Methods & Materials: The current research was an evaluation study on the Integrated Geriatric Care Program based on the RE-AIM model. Data were collected in two phases. First, data on all program indicators from 2017 to 2023 were extracted from the electronic health records of older adults in the health center and were then forecasted by applying the time-series analysis. In phase two, all healthcare providers in the selected health center completed a RE-AIM-based researcher-made checklist. R software for windows version 4.2.2 was used for data analysis.
Results: In phase one, the trend of program indicators from 2017 to 2023, except for 2021 and 2022, has been gradually increasing. The rate of Complete Care Indicator in 2023 was 15.4%, only. In phase 2, the mean ± standard deviation of the normalized evaluation scores (out of 100) for the RE-AIM domains were as follows: reach = 34.26 ± 15.28, effectiveness = 49.51±12.08, adoption = 58.64±32.41, implementation = 72.11±9.98, and maintenance = 55.71±12.26. Friedman's test showed a significant difference among the scores of different dimensions (P=0.002).
Conclusion: Our results showed that the indicators of the Integrated Geriatric Care Program were weak in the dimensions of reach and effectiveness. In total, the evaluation of other dimensions of this program was fairly favorable. The results of our study seem to be helpful in identifying the challenges of the program. Therefore, older adults’ health stakeholders should pay more attention to revisiting healthcare programs for older persons.
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