scholarly journals GIS Identifies Elderly Healthcare Centre Future Planning: A Case Study of Local Areas in Northeast of Thailand

Author(s):  
Niruwan Turnbull ◽  
Jaturong Som-Ad ◽  
Savitree Ratanaopad Suwanlee ◽  
Adisorn Wongkongdech

Spatial density measures are an important tool for future healthcare planning, particularly in Northeast Thailand where the ageing population has rapidly increased for a decade. The objective of this study was to determine the relationship of geographic and elderly population density in Chiang Yuen district, Mahasarakham province, to ascertain suitable areas for elderly healthcare centres. The data of the elderly located in the villages were collected by the Global Position System (GPS) using Kernel density method to employ the analysis of population density, and GIS for healthcare mapping, and Analytical Hierarchy Process (AHP) as multiple criteria decision-making tools. Factors were determined by using the overlay analysis method, where social, physical and economic factors were variables of interest that were used for the analysis of suitable areas for Elderly Healthcare Centres. The results revealed that the spatial density of the elderly population could be divided into four levels: Low density for the agriculture areas, medium density for agricultural areas including small villages. High density for the areas near communities and public area services and highest density for the centre of towns. The most suitable area was an area with many elderly inhabitants in the community, near transportation routes including main highways leading to other areas. In conclusion, the results confirmed that the density of elderly and proximity to both local stores and transport would make the lower part of Chiang Yuen Sub-district a suitable area to establish a healthcare centre for the elderly, therefore, the authorities and stakeholders should recognise this in planning.

2015 ◽  
pp. 682-698
Author(s):  
Ângelo Costa ◽  
Francisco Andrade ◽  
Paulo Novais

Developed societies are registering a dramatic change in terms of population evolution, the most important fact being the ageing population. An alarming fact is that the birth-rate is dropping very fast, inverting the ageing pyramid that used to have a higher incidence on the young population, now having a higher incidence in the older population. In the quest to provide answers to some problems the elderly population has, applications and projects arise from the Ambient Assisted Living area, providing services that help the user in his daily life, providing the needed help and trying to be as non-invasive as possible. The fact is that these systems operate optimally by using information about the user, assisting him according to his preferences. The data gathered for such events is highly personal and sensitive. This can cause a loss of privacy and affect personal data. In this chapter, the authors present an Ambient Assisted Living project towards assistance to an elderly population. The problems and possible solutions in the legal area towards loss of privacy and personal data and information use is also covered.


Author(s):  
Ângelo Costa ◽  
Francisco Andrade ◽  
Paulo Novais

Developed societies are registering a dramatic change in terms of population evolution, the most important fact being the ageing population. An alarming fact is that the birth-rate is dropping very fast, inverting the ageing pyramid that used to have a higher incidence on the young population, now having a higher incidence in the older population. In the quest to provide answers to some problems the elderly population has, applications and projects arise from the Ambient Assisted Living area, providing services that help the user in his daily life, providing the needed help and trying to be as non-invasive as possible. The fact is that these systems operate optimally by using information about the user, assisting him according to his preferences. The data gathered for such events is highly personal and sensitive. This can cause a loss of privacy and affect personal data. In this chapter, the authors present an Ambient Assisted Living project towards assistance to an elderly population. The problems and possible solutions in the legal area towards loss of privacy and personal data and information use is also covered.


2020 ◽  
Vol 41 (2) ◽  
pp. 183-192
Author(s):  
Lorna Flores-Villa ◽  
Jemima Unwin ◽  
Peter Raynham

Due to our social behaviours, people spend at least 80% of their time indoors, mostly under artificial light. In research and building design, daylight is considered a valuable asset because it is the primary source of free, good quality light and it is suggested that it has a positive influence on human performance, health and sleep quality. There is a tendency in the population for increasingly poor sleep quality with age, and this affects at least 50% of the elderly population. Research on sleep disruption has found that especially in the elderly population, interrupted sleep can affect alertness, cognitive performance and mood. This increases the risk of falls, increases fatigue and reduces some other mental functions. Exposure to daylight (indoors and outdoors) is expected to reduce sleep disruption. Physical activities and sleep quality were assessed using 32 participants living independently in the UK, aged between 65 and 95 years old. The study was divided into two seasons due to a considerable difference in daylight availability in summer and winter. In each season participants completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire, Morningness–Eveningness Questionnaire (MEQ) and a seven-day sleep diary/log activity; where time spent outdoors was identified. It was expected that participants who reported less exposure to daylight during summer and winter would report worse sleep quality. However, this was not the case; subjective sleep quality did not differ greatly between summer and winter, even though exposure to daylight varies greatly between seasons. This study explores the relationship between exposure to daylight throughout two different seasons and people’s chronotypes, physical activities and sleep quality (between and within participants). This information is essential to find means of supporting an ageing population. Practical applications: In the built environment, daylight is an important feature to consider for the occupant’s health and wellbeing. This research provides real-world insight into the amount of daylight that active aged people are exposed to during two seasons in London, and how this could impact their overall sleep quality. The findings suggest that exposure to daylight could benefit people over 65 years old with poor sleep quality by reducing the number of awakenings during the night. This research provides a step towards understanding how daylight exposure effects people, and can be used to inform housing design for the ageing population.


Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1346
Author(s):  
Shangguang Yang ◽  
Danyang Wang ◽  
Wenhui Li ◽  
Chunlan Wang ◽  
Xi Yang ◽  
...  

This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decoupling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government’s health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly’s HCD and HCE, demonstrating that health insurance can effectively affect the elderly’s decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.


2020 ◽  
Author(s):  
Luxue Liu ◽  
Chunlan Wang ◽  
Shangguang Yang ◽  
Kevin Lo ◽  
Xi Yang

Abstract Background: Given the growing healthcare demands of the elderly, an improved understanding of the factors influencing their healthcare-seeking behaviors is necessary to enhance the effectiveness of the current healthcare system. This study empirically investigates the factors influencing the elderly population’s healthcare-seeking behaviors in Shanghai, China, from a gender differences perspective.Methods: We combine both quantitative and qualitative analyses by constructing a binary logistic regression model and identifying the relevant influential factors based on the following types of dimensions: individual, family, and cultural.Results: The results indicate that gender differences exist in the elderly population with common diseases but not in those with severe diseases, and that the female elderly are more likely to choose non-tertiary hospitals than males. In addition, age, marital status, employment status, income, health conditions, medical insurance, family support, and social capital are found to be critical influencing factors.Conclusions: The findings provide a better understanding of the elderly population’s healthcare demands and can be used to promote healthcare equality.


SAGE Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 215824402110615
Author(s):  
Gyubeom Park ◽  
Kichan Yoon ◽  
Munjae Lee

The purpose of this study is to analyze the influential factors of non-take-up citizens, who do not receive social benefits, to increase their discovery rate. A spatial regression model was used to analyze the variables affecting the discovery rates. As a result of the study, there was a difference in the percentage of welfare blind spots by region. In addition, when the proportion of the elderly population, the number of unemployment benefit recipients, etc. increased, that of welfare blind spots also increased; the lower the population density was, the higher the rate of increase in welfare blind spots became. Accordingly, in order to resolve the welfare blind spots at the local level, it is necessary to reinforce policy support for the elderly population and reduce the unemployment rate. Particularly, the policy will have to be prepared to resolve the welfare blind spots in rural areas with low population density.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
E Chowdhury ◽  
M R Nelson ◽  
M E Ernst ◽  
K L Margolis ◽  
L J Beilin ◽  
...  

Abstract Introduction Despite readily available treatments, control of high blood pressure (BP) in the ageing population remains suboptimal. Gaps in understanding the management of high BP amongst the elderly exist, as most studies have been in predominantly middle-aged populations. Purpose We explored pharmacological BP lowering treatment and control among elderly hypertensive participants free from overt cardiovascular disease (CVD), and identified factors related to both “untreated” and “treated but uncontrolled” high BP. Methods We analyzed baseline data from 19,114 individuals aged ≥65 years enrolled from Australia and the US in the ASPirin in Reducing Events in the Elderly (ASPREE) study. Hypertension was defined as an average systolic/diastolic BP ≥140/90 mmHg and/or use of any BP-lowering medication. `Controlled hypertensives” were those receiving BP-lowering medication and with BP <140/90 mmHg. Descriptive analyses were used to summarize hypertension control rates; logistic regression was used to investigate relationships with treatment and BP control. Results Overall, 74% (14,213/19,114) of participants were hypertensive, and of these 29% (4,151/14,213) were untreated. Among those treated, 47% (4,732/10,062) had BP <140/90 mmHg. Participants who were untreated were more likely to be men, have higher educational status, and be in good physical health, and less likely to have significant comorbidities. The factors related to “treated but uncontrolled” hypertension included older age, being men, Black race (versus White), using BP lowering monotherapy and residing in Australia (versus US) (Figure 1). Conclusion(s) There were high levels of “untreated” and “treated but uncontrolled” BP, in an otherwise healthy elderly population, suggesting that opportunities for better BP control exist through targeting intervention to high-risk individuals. Acknowledgement/Funding National Institute on Aging and the National Cancer Institute at NIH; NHMRC Australia, Monash University, Victorian Cancer Agency (Australia)


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Daphna Birenbaum-Carmeli ◽  
Judith Chassida

Abstract Background The first wave of the Covid-19 pandemic hit Israel in late February 2020. The present study examines patterns of the first wave of Covid-19 morbidity in Israel at the macro level, during the period of late February to early June 2020, when the first wave has faded out. The analysis focuses on the significance of four sociodemographic variables: socioeconomic status, population density, rate of elderly population and minority status (Jewish / Arab identity) of the population in cities with 5000 residents or more. Additionally, we take a closer look into the association between morbidity rates and one SES component – home Internet access. Methods The article is a cross sectional study of morbidity rates, investigated on a residential community basis. Following the descriptive statistics, we move on to present multivariate analysis to explore associations between these variables and Covid-19 morbidity in Israel. Results Both the descriptive statistics and regressions show morbidity rates to be positively associated with population density. Socioeconomic status as well as the size of elderly population were both significantly related to morbidity, but only in Jewish communities. Interestingly, the association was inverse in both cases. i.e., the higher the SES the lower the morbidity and the larger the elderly population, the lower the community’s morbidity. Another interesting result is that overall, morbidity rates in Jewish cities were consistently higher than in Arab communities. Conclusions We attribute the low morbidity rates in communities with relatively small elderly populations to the exceptionally high fertility rates in ultra-orthodox communities that sustained increased rates of morbidity; the lower morbidity in Arab communities is attributed to several factors, including the spatial Jewish-Arab segregation.


Patan Pragya ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 11-18
Author(s):  
Gokarna Raj Aryal

Elderly citizens are the sources of knowledge, experiences and collections of different ideas in every society or nation. If we use their ability, long experiences and their conscience, our society or nation will be benefitted to reform national development and prosperity. Ageing population is a global phenomenon and the number is rapidly increasing in developing countries as compared to developed countries. The government of Nepal has declared that people with 60 years or more are elderly citizens. The growth rate of the elderly population is faster than that of the total population in Nepal. The observation shows that the proportion of elderly population is high in mountain and hilly regions as compared to Terai. However, it is noted that female elderly population is the highest among three ecological regions. The growing numbers of ageing population is a major concern in most of the developing countries like Nepal. The social, economic and demographic impacts of ageing population possess both opportunities and challenges to every society. In this situation, the Government of Nepal should attempt to enhance the self-reliance and provide social security of its elderly people to facilitate their continuous participation in society. The Government of Nepal has introduced the universal old aged allowances program since 1994/95 as a non-contributing social assistance to elderly citizens with 70 years or more. The starting allowances are nominal. At present context, it is not a sufficient amount for the elderly citizens but they have little support to health care, medicine, entertainment and desired foods and fruits. Likewise, the Government should establish old age homes, day care and ageing centers and parks for entertainment.


2020 ◽  
Vol 9 (2) ◽  
pp. 120
Author(s):  
Retno Budi Cahyanti ◽  
Febriana Sartika Sari ◽  
Diyanah Syolihan Rinjani Putri

The number of the elderly in Indonesia increases adequately significantly (Putri, 2019). Life expectancy in Indonesia reaches 71 years old. Based on the population projection of the National Board of Statistics in 2019, as of 2010 the number of elderly population has increased, indicating that there is a transition towards an ageing population. In 2019, the number of the elderly population was 9.7% out of the total number of population or equalled to approximately 25.9 million people. In 2035, the number of elderly population will approximately reach 48 million people (15.77%), or will nearly triple that of the elderly population in 2010. The objective of this research is to investigate overview of self-integrity of the elderly at Dharma Bhakti Nursing Home of Surakarta. This research used the quantitative descriptive analytical research method with cross sectional approach. Its population was all of the elderly as many as 66  persons cared at Dharma Bhakti Nursing Home of Surakarta. Total sampling was used to determine its samples. The data of the research were analyzed by using the Deskriptif analysis. The result of the frequency analysis shows that the lowest score of the self-integrity was 5, and the highest one was 24 with the average score of 17.45 and the standard deviation of 3.259. Thus, the average score of self-integrity of the elderly was 17.45. Jumlah penduduk lansia di Indonesia mengalami peningkatan yang cukup signifikan (Putri, 2019). Usia Harapan Hidup di Indonesia mencapai 71 tahun. Berdasarkan hasil proyeksi penduduk Badan Pusat Statistik tahun 2019, jumlah penduduk lansia terjadinya peningkatan mulai dari tahun 2010 yang menunjukkan adanya transisi menuju struktur penduduk tua (ageing population). Pada tahun 2019, jumlah penduduk lansia sebesar 9,7% dari total jumlah penduduk atau sekitar 25,9 juta orang. Tahun 2035 diperkirakan sebesar 48 juta (15,77%), atau hampir tiga kali lipat dibanding pada tahun 2010. Penelitian ini bertujuan untuk mengetahui gambaran integritas diri pada lansia di Panti Wredha Dharma Bhakti Surakarta. Jenis penelitian yang digunakan adalah penelitian kuantitatif, menggunakan rancangan penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah Semua lansia yang dirawat di Panti Wredha Dharma Bhakti Surakarta yang berjumlah 66 orang. Pengambilan sampel dalam penelitian ini menggunakan total sampling. Analisa data dalam penelitian ini menggunakan uji Analisis Deskriptif. Hasil penelitian menunjukkan Hasil analisis frequency menunjukkan bahwa integritas diri apda lansia memiliki nilai terendah 5, tertinggi 24 dengan rata-rata 17,45 dan standar deviasi 3,259. Kesimpulan pada penelitian ini menunjukkan bahwa rata-rata integritas diri pada lansia adalah 17,45.


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