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Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults' perspectives in a Malaysian city

Lim, Xin-Jie ; Chew, Chii-Chii ; Chang, Chee-Tao ; Supramaniam, Premaa ; Ding, Lay-Ming ; Devesahayam, Philip Rajan ; Low, Lee-Lan Mosa, Ahmed Mancy

PloS one, 2023-06, Vol.18 (6), p.e0286638-e0286638 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults' perspectives in a Malaysian city
Autor: Lim, Xin-Jie ; Chew, Chii-Chii ; Chang, Chee-Tao ; Supramaniam, Premaa ; Ding, Lay-Ming ; Devesahayam, Philip Rajan ; Low, Lee-Lan
Mosa, Ahmed Mancy
Assuntos: Adults ; Age ; Age related diseases ; Aged ; Aging ; Analysis ; Architectural design ; Architecture, Domestic ; Biology and Life Sciences ; Care and treatment ; Caregivers ; Cities ; Data analysis ; Data collection ; Earth Sciences ; Employment ; Environment ; Equipment costs ; Health aspects ; Health promotion ; Health services ; Housing ; Humans ; Information management ; Medical care ; Medical care, Cost of ; Medical research ; Medicine and Health Sciences ; Nursing homes ; Older people ; Open spaces ; Participation ; People and Places ; Personal finance ; Pharmacists ; Population biology ; Private sector ; Professionals ; Psychological factors ; Public transportation ; Qualitative research ; Quality management ; Questionnaires ; Social aspects ; Social Environment ; Social Sciences
É parte de: PloS one, 2023-06, Vol.18 (6), p.e0286638-e0286638
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
CTC and PS also contributed equally to this work.
Competing Interests: The authors have declared that no competing interests exist.
Descrição: This exploratory qualitative study investigates older adults' unmet needs in the age-friendly city of Ipoh, Malaysia. Seventeen participants were interviewed, including ten older adults residing in Ipoh City for at least six months, four carers, and three professional key informants. Interviews were conducted using semi-structured questions based on the WHO Age-Friendly Cities Framework. A 5P framework for active ageing based on the ecological ageing model was adapted for data analysis. The 5P framework consists of domains of person (micro), process (meso), place (macro), policymaking (macro), and prime, which allows for the dissection of older adults' unmet needs in planning for multilevel approaches, which were employed for analysis. Person: the personal needs requiring improvement included digital divide disparity, inadequate family support, and restricted sports activities attributed to physical limitations. Process: There were fewer social activities and a lack of low-cost and easily accessible venues for seniors. Economic challenges include expensive private healthcare services, variation in the quality of care in older residential care facilities, and limited savings for retirement. Place issues include unequal distribution of exercise equipment, public open spaces, the need for more conducive parking for seniors, and a place for social activities. Difficulties assessing public transportation, digitalized services, and unaffordable e-hailing services are common among seniors. Housing issues for seniors include a lack of barrier-free housing design and unaffordable housing. Policymaking: Insufficient private sector commitment to improving services to older adults, lack of policy governance on the quality of nursing homes, and insufficient multidisciplinary governance collaboration. Prime: Health promotion for preventing age-related illness is required to preserve health in old age, and full-time family caregivers' psychological well-being is often overlooked.
Editor: United States: Public Library of Science
Idioma: Inglês

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Perceived unmet needs of an age-friendly environment: A qualitative exploration of older adults' perspectives in a Malaysian city

Lim, Xin-Jie ; Chew, Chii-Chii ; Chang, Chee-Tao ; Supramaniam, Premaa ; Ding, Lay-Ming ; Devesahayam, Philip Rajan ; Low, Lee-Lan Mosa, Ahmed Mancy

United States: Public Library of Science

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