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Συνέχεια στην Πρωτοβάθμια Φροντίδα Υγείας: η άποψη της τρίτης Ηλικίας στο Νομό Ηρακλείου (Greek, Ancient (to 1453))

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  • Additional Information
    • Alternate Title:
      Continuity of primary healthcare of elder people in the Perfecture of Herakleion: The patient's perspective. (English)
    • Abstract:
      Aim-Background: The evaluation of health care continuity and its individual characteristics, as experienced by Greeks elder patients suffering from chronic diseases. Material-Method: This is a cross-sectional study. The sample of 120 people came from a population of residents in all municipalities of the prefecture of Herakleion, aged over 65 years old. Data was collected by using an anonymous questionnaire, comprising of a 23 question Likert scale and a number of questions, capturing demographic characteristics and satisfaction from healthcare. A face-validity process was conducted and internal consistency reliability was tested using Cronbach alpha reliability coefficient (a=0.702). Measures of central tendency were used to calculate continuity scores. Scores ranged from 1 for lower continuity to 5 for highest. Results: Only 0.8% of the subjects experiences high level of continuity, whereas 60.4% thinks of continuity as satisfactory and 38.8% as adequate. Higher scores were marked in questions concerning patients' guidance through the health system (4.22), trust for the health provider (4.15) and doctor's accountability (4.12). Nonetheless, sample patients seem to prefer access to continuity (2.66), feel uncomfortable to discuss a personal problem with the doctor (2.73) and confirm that their doctor does not know about their family problems (2.68). Male patients experience higher continuity than female (p-value=0.017) and patients over 80 years old experience lower continuity than the younger (p-value=0.001). Finally, continuity scores are higher for patients who are very much satisfied from the healthcare they receive (4.00), and the same goes for patients who are simply satisfied with it (3.64). Conclusions: There is plenty of room for improvement as for continuity of Greek primary healthcare. To this end, improving access to health services, deepening the doctor-patient relationship, boosting the role of the family doctor and creating clear care paths are suggested. [ABSTRACT FROM AUTHOR]
    • Abstract:
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