PMID: 20099771Jan 27, 2010Paper

Prevention for better health among older persons: are primary healthcare clinics in Jamaica meeting the challenge?

The West Indian Medical Journal
D Eldemire-ShearerK James

Abstract

The study sought to determine the level and type of preventive care offered to older persons (persons 50 years and over) in the primary healthcare system and to identify the barriers to prevention-related activities. The study was carried out in three phases utilizing quantitative and qualitative methods. Quantitative data were collected over a six-week period from 738 older patients accessing health centre curative services and from 86 health centre staff Focus group discussions were used to obtain information from non-users of health centres. The findings showed that while clinical practice was good, there were relatively inadequate levels of prevention care practices and there were barriers to prevention-related activities for older persons in the primary healthcare system. Only 5.1%, 24.5% and 9.6% of older persons reported being advised about smoking, physical activity and alcohol consumption respectively by health centre staff A higher proportion (56.5%) reported being advised about diet. Older persons did not appear to understand the role of prevention in maintaining health status. Barriers identified include inadequate numbers of staff overcrowded clinics, rapid staffturnover; high costs of investigations and medication...Continue Reading

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