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Health needs, access to healthcare, and perceptions of ageing in an urbanizing community in India: a qualitative study

Overview of attention for article published in BMC Geriatrics, July 2017
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Title
Health needs, access to healthcare, and perceptions of ageing in an urbanizing community in India: a qualitative study
Published in
BMC Geriatrics, July 2017
DOI 10.1186/s12877-017-0544-y
Pubmed ID
Authors

Nandita Bhan, Pavitra Madhira, Arundati Muralidharan, Bharati Kulkarni, GVS Murthy, Sanjay Basu, Sanjay Kinra

Abstract

India's elderly population is rising at an unprecedented rate, with a majority living in rural areas. Health challenges associated with ageing, changing social networks and limited public health infrastructure are issues faced by the elderly and caregivers. We examined perceptions of health needs of the elderly across local stakeholders in an urbanizing rural area. The qualitative study was conducted among participants in the Andhra Pradesh Children and Parents Study (APCAPS) site in Rangareddy district, Telangana. We collected data using focus group discussions and interviews among communities (n = 6), health providers (n = 9) and administrators (n = 6). We assessed stakeholders' views on the influence of urbanization on health issues faced and interventions for alleviating these challenges. We used a conceptual-analytical model to derive themes and used an inductive approach to organizing emerging codes as per a priori themes. These were organized as per thematic groups and ranked by different authors in order of importance. Bronfebrenner's theory was used to understand stakeholder perspectives and suggest interventions within four identified spheres of influence - individual, household, community and services. Stakeholders reported frailty, lack of transport and dependence on others as factors impacting health access of the elderly. Existing public health systems were perceived as overburdened and insensitive towards the elderly. Urbanization was viewed positively, but road accidents, crime and loneliness were significant concerns. Interventions suggested by stakeholders included health service outreach, lifestyle counseling, community monitoring of healthcare and engagement activities. We recommend integrating outreach services and lifestyle counseling within programs for care of the elderly. Community institutions can play an important role in the delivery and monitoring of health and social services for the elderly.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 212 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 212 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 25 12%
Student > Master 23 11%
Student > Ph. D. Student 22 10%
Student > Bachelor 14 7%
Student > Postgraduate 12 6%
Other 41 19%
Unknown 75 35%
Readers by discipline Count As %
Medicine and Dentistry 34 16%
Nursing and Health Professions 27 13%
Social Sciences 23 11%
Psychology 14 7%
Engineering 6 3%
Other 26 12%
Unknown 82 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 July 2017.
All research outputs
#15,470,944
of 22,990,068 outputs
Outputs from BMC Geriatrics
#2,370
of 3,228 outputs
Outputs of similar age
#198,133
of 315,212 outputs
Outputs of similar age from BMC Geriatrics
#53
of 66 outputs
Altmetric has tracked 22,990,068 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,228 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.4. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 315,212 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 66 others from the same source and published within six weeks on either side of this one. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.