Policy requirements in promoting older people health care in Iran: A qualitative study

BACKGROUND: The demographic structure of Iran as a developing country has undergone various changes in recent years. Therefore, the present study sought to analyze policy and upstream documents related to the older people health in Iran in order to identify and analyze the requirements considered by health policymakers to promote the older people health in Iran. MATERIALS AND METHODS: This is a qualitative study conducted in 2021 through national qualitative document analysis. All upstream documents published and related to older people health were reviewed between February 1979 and October 2021. The Scott's four-step method was used to extract the related documents. RESULTS: Policy requirements for promoting older people healthcare in Iran were categorized into 4 main themes in the form of a conceptual framework and 15 sub-themes. Thus, in order to ensure the health of the older people in Iran, it is necessary to take into account the four categories of managerial requirements, financing, infrastructures, and providing older people services. In other words, the sustainable financing requirements and the infrastructural requirements should firstly exist together as basic requirements. Then, geriatric health management requirements are needed to provide the older people health services along with the previous requirements and finally ensure the health of the older people in Iran. CONCLUSION: The results of this study can be helpful in the review of upstream older people health policy documents by policy makers in order to better promote the health of the older people and pave the way for new policies to enter the agenda of policy makers.

[1]  G. Santinha,et al.  Active Aging Governance and Challenges at the Local Level , 2021, Geriatrics.

[2]  Ahmad Ahmadi Teymourlouy,et al.  Factors Affecting Health Policies for Older People in Iran. , 2021, Journal of aging & social policy.

[3]  Pablo Villalobos Dintrans,et al.  Defining 'older people' in Chile: challenges in planning policies for ageing populations. , 2020, Health policy and planning.

[4]  A. Shaghaghi,et al.  An Evidence-Informed and Key Informants-Appraised Conceptual Framework for an Integrated Elderly Health Care Governance in Iran (IEHCG-IR) , 2020, Risk management and healthcare policy.

[5]  S. Kunkel,et al.  Trends, Determinants and the Implications of Population Aging in Iran , 2020 .

[6]  samane gholizade,et al.  Health related needs of the elderly in Sabzevar city of Iran , 2019 , 2020 .

[7]  J. Tabrizi,et al.  Consequences of Population Aging in Iran with Emphasis on its Increasing Challenges on the Health System (Literature Review) , 2019 .

[8]  Z. Kavosi,et al.  Legal and policy requirements of basic health insurance package to achieve universal health coverage in a developing country , 2019, BMC Research Notes.

[9]  M. Kristiansen,et al.  Community-based interventions to enhance healthy aging in disadvantaged areas: perceptions of older adults and health care professionals , 2019, BMC Health Services Research.

[10]  E. Severinsson,et al.  Strategies for teaching evidence-based practice in nursing education: a thematic literature review , 2018, BMC medical education.

[11]  B. Pouraboli,et al.  CHALLENGES IN CARING FOR THE ELDERLY IN IRAN: A SYSTEMATIC REVIEW , 2018 .

[12]  M. Raju Population Ageing and the Elderly , 2018, Indian journal of psychiatry.

[13]  K. Blomberg,et al.  Perspectives of health and self‐care among older persons—To be implemented in an interactive information and communication technology‐platform , 2017, Journal of clinical nursing.

[14]  Milena Lopreite,et al.  The effects of population ageing on health care expenditure: A Bayesian VAR analysis using data from Italy. , 2017, Health policy.

[15]  Shahram Manoochehry,et al.  Iranian Population Policy and Aging: New Health Concerns , 2017 .

[16]  D. Šćepović,et al.  Challenges of human resource management in the institutions for care of elderly people , 2017 .

[17]  K. Sayehmiri,et al.  Health Related Quality of Life in Iranian Elderly Citizens: A Systematic Review and Meta-Analysis , 2017, International journal of community based nursing and midwifery.

[18]  A. Mohammadpoorasl,et al.  The prevalence, awareness and control rate of hypertension among elderly in northwest of Iran , 2016, Journal of cardiovascular and thoracic research.

[19]  H. Ravaghi,et al.  A qualitative study of the current situation of elderly care in Iran: what can we do for the future? , 2016, Global health action.

[20]  E. Mohammadi,et al.  Nutritional care of elderly patients in acute care settings: A qualitative study , 2016, Geriatrics & gerontology international.

[21]  H. Ravaghi,et al.  Futures of elderly care in Iran: A protocol with scenario approach , 2016, Medical journal of the Islamic Republic of Iran.

[22]  A. Foroushani,et al.  Evaluation of Quality of Life and Safety of Seniors in Golestan Province, Iran , 2015, Gerontology & geriatric medicine.

[23]  F. Jacobsen Understanding public elderly care policy in Norway: A narrative analysis of governmental White papers. , 2015, Journal of aging studies.

[24]  J. Byles,et al.  Informing evidence-based policies for ageing and health in Ghana , 2014, Bulletin of the World Health Organization.

[25]  H. Sharifi,et al.  Iran's shift in family planning policies: concerns and challenges. , 2014, International journal of health policy and management.

[26]  Charles Safran,et al.  Acceptance and use of health information technology by community-dwelling elders , 2014, Int. J. Medical Informatics.

[27]  Y. Moriguchi,et al.  [The religiosity in the process of living getting old]. , 2013, Revista da Escola de Enfermagem da U S P.

[28]  M. Noroozian The Elderly Population in Iran: An Ever Growing Concern in the Health System , 2012, Iranian journal of psychiatry and behavioral sciences.

[29]  L. Fernandes,et al.  The Needs of Older People with Mental Health Problems: A Particular Focus on Dementia Patients and Their Carers , 2012, International journal of Alzheimer's disease.

[30]  E. Hogervorst,et al.  THREE PILLARS OF ACTIVE AGEING IN INDONESIA , 2012 .

[31]  Mellissa K. Wright,et al.  Promoting involvement of older people in shaping policy and practice , 2011 .

[32]  David E. Bloom,et al.  Population Aging: Facts, Challenges, and Responses , 2011 .

[33]  Beibei Yuan,et al.  Expanding health insurance coverage in vulnerable groups: a systematic review of options. , 2011, Health policy and planning.

[34]  J. Menken,et al.  Ageing and adult health status in eight lower-income countries: the INDEPTH WHO-SAGE collaboration , 2010, Global health action.

[35]  R. Hogg,et al.  The Iranian population is graying: are we ready? , 2010, Archives of Iranian medicine.

[36]  R. Burke Johnson,et al.  Research Methods Design and Analysis , 2010 .

[37]  F. Salvi,et al.  The "Silver Code" and the frail elder in the emergency department. , 2010, The journals of gerontology. Series A, Biological sciences and medical sciences.

[38]  A. Oxman,et al.  SUPPORT Tools for evidence-informed health Policymaking (STP) 15: Engaging the public in evidence-informed policymaking , 2009, Health research policy and systems.

[39]  D. Blazer,et al.  Religious attendance reduces cognitive decline among older women with high levels of depressive symptoms. , 2009, The journals of gerontology. Series A, Biological sciences and medical sciences.

[40]  A. Ardalan,et al.  THE FUTURE OF AGEING AND ITS HEALTH CARE COSTS: A WARNING FOR HEALTH SYSTEM , 2007 .

[41]  David R. Thomas,et al.  A General Inductive Approach for Analyzing Qualitative Evaluation Data , 2006 .

[42]  Y. Hanoch,et al.  Can limiting choice increase social welfare? The elderly and health insurance. , 2006, The Milbank quarterly.

[43]  D. Jeste,et al.  Evidence-based practices in geriatric mental health care. , 2002, Psychiatric services.

[44]  N. Mehrdad,et al.  The Spiritual Health of Seniors Living in Sanitarium and Home Residents , 2013 .

[45]  S. Stansfeld,et al.  Older people with long-term mental illness. A survey in a community rehabilitation service using the Camberwell Assessment of Needs for the Elderly (CANE) , 2011 .

[46]  J. Ahmed Documentary Research Method: New Dimensions , 2010 .

[47]  H. Abedi,et al.  Conditions affecting the elderly primary health care in urban health care centers of Iran. , 2009 .

[48]  V. L. Lunardi,et al.  Health promotion for the elderly: gerontogeriatric nursing commitment , 2008 .

[49]  Monageng Mogalakwe The Use of Documentary Research Methods in Social Research , 2006 .

[50]  David Canning,et al.  Program on the Global Demography of Aging , 2005 .