Table 4 Main domains and indicators of the Progress Assessment Model for Age-Friendly Primary Health Care initiatives
From: Developing a progress assessment model for age friendly primary health care initiatives
Main Domains | Indicators |
|---|---|
Policies and Planning Processes Related to Older Adults | 1. Number of programs developed under the title of aging compared to the total number of PHC programs. |
2. Number of specific objectives set for PHC for older adults compared to the total number of specific objectives in the strategic program. | |
3. Number of interventions and special programs designed and implemented for older adults. | |
4. Existence of periodic evaluations for special programs for older adults. | |
5. Implementation of necessary actions to overcome implementation barriers of the national aging document. | |
6. Existence of programs to encourage older adults to seek services from reputable sources (through media, etc.). | |
7. Implementation of annual community-based needs assessment programs. | |
8. Existence of serious programs and actions to provide long-term care for older adults. | |
9. Utilization of evidence and experiences from different countries in providing services to older adults. | |
10. Formulation and implementation of supportive laws for older adults. | |
11. Development of quantitative and qualitative preventive programs tailored to older adults in various areas. | |
12. Allocation of budget for specific programs for older adults compared to the total budget for PHC. | |
Principles of Respect and Interaction with Older Adults | 1. Existence of specific ethical codes in the ethical charter for providing services to older adults. |
2. Existence of written programs to honor and respect older adults. | |
3. Formulation and implementation of transparent processes for addressing complaints from older adults. | |
4. Development and implementation of educational programs on how to communicate with and honor older adults for healthcare providers. | |
5. Evaluation program to identify old adult abuse and determine appropriate actions in a safe and confidential environment. | |
6. Formulation of necessary actions to prevent and reduce old adult abuse in society. | |
7. Collaboration with various organizations, including media, to educate families and enhance the dignity of older adults in society. | |
Education for Older Adults | 1. Design and implementation of needs assessment programs for impactful educational areas in older adult health. |
2. Volume/number of educational contents for older adults compared to the total educational contents for PHC. | |
3. Number of studies conducted on the effectiveness of PHC for older adults compared to the total studies in medical care. | |
4. Number of healthcare facilities with sufficient conditions and resources for educating older adults compared to the total number of healthcare facilities. | |
5. Existence of trained human resources in the field of older adult education. | |
6. Number of physicians practicing geriatric medicine compared to the total number of physicians. | |
7. Availability of suitable educational tools for older adults (large print, appropriate colors, simple and concise content, etc.). | |
8. Number of families of older adults educated compared to the number of older adults covered. | |
9. Formulation and implementation of educational programs using user-friendly health apps. | |
Principles of Care and Service Delivery for Older Adults | 1. Determination of the compatibility of PHC with the physical, mental, and other characteristics of older adults. |
2. Number of programs developed for older adults compared to the total number of implemented programs for older adults. | |
3. Existence of home care programs for older adults. | |
4. Ratio of hospitalized older adults to total healthcare providers. | |
5. Development and implementation of appropriate programs to assess and prevent depression in older adults. | |
6. Development and implementation of appropriate programs to assess and prevent osteoporosis in older adults. | |
7. Development and implementation of appropriate programs to assess and prevent hypertension and heart diseases. | |
8. Development and implementation of appropriate programs to assess and prevent falls among older adults at home. | |
9. Provision of dental care services for older adults. | |
10. Development and implementation of programs to evaluate medication conditions and review medication interactions for older adults. | |
11. Updating service delivery processes for older adults according to the best available evidence. | |
12. Number of WHO-recommended care services currently implemented in the field of aging. | |
13. Existence of home-based patient follow-up programs specifically for older adults. | |
14. Number of culturally and ethnically adapted care services compared to the total number of care services. | |
Access to PHC Facilities for Older Adults | 1. Continuous monitoring and reporting of reasons for older adults’ non-attendance at healthcare centers (disability, inadequate services, inappropriate treatment, etc.). |
2. Number of healthcare facilities providing PHC services compared to the total number of older adults in the area. | |
3. Number of identified and registered older adults in the healthcare system compared to the total elderly population in that area. | |
4. Population of older adults residing in suburban and rural areas compared to the total older adult population. | |
5. Average waiting time for older adults to receive services. | |
6. Existence of effective communication processes and methods to inform older adults about accessing healthcare services. | |
7. Implementation of categorization programs for older adults based on mobility and physical capabilities. | |
8. Number of healthcare facilities equipped with rehabilitation equipment for older adults compared to the total number of healthcare facilities. | |
Physical Environment, Facilities, and Equipment Tailored to Older Adults’ Needs | 1. Number of healthcare facilities standardized for providing services to older adults according to available standards compared to the total number of healthcare facilities. |
2. Number of specific equipment available for older adults compared to the specified equipment appropriate for older adults. | |
3. Ratio of available equipment for older adults to the older adult population covered by the facilities. | |
4. Number of healthcare facilities equipped with rehabilitation equipment for older adults compared to the total number of healthcare facilities. | |
Human Resources (providing suitable and specialized services to elderly) | 1. Ratio of specialist human resources in geriatrics to the total healthcare providers |
2. Ratio of geriatric medicine specialists to the older adult population | |
3. Ratio of employed geriatric medicine specialists to the total specialized human resources | |
4. Existence of periodic performance evaluation policies for staff to determine their skills in providing services to older adults | |
5. Number of experienced staff in the field of geriatrics compared to the total staff | |
6. Number of hours of in-service training relevant to geriatrics compared to the total training hours |