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Review paper

Impact of self-rated health among elderly on visits to family physicians

By
Amira Kurspahić-Mujčić ,
Amira Kurspahić-Mujčić
Contact Amira Kurspahić-Mujčić

Department of Social Medicine, School of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

Melisa Čalkić ,
Melisa Čalkić

Primary Health Care Center, Gornji Vakuf-Uskoplje, Bosnia and Herzegovina

Suad Sivić
Suad Sivić

Public Health Institute of Zenica-Doboj Canton, Zenica, Bosnia and Herzegovina

Abstract

Aim
To evaluate an impact of eight dimensions of self-rated health measured by the SF-36 questionnaire on visits to family physicians among people older than 65.
Methods
This cross-sectional study was carried out in family medicine outpatient departments of the Public Institution Primary
Health Care Center of Canton Sarajevo, Bosnia and Herzegovina. The study included 200 respondents divided into two age groups:18-65 (n=100) and older than 65 (n=100). The SF-36 questionnaire for self-assessment of health status and a questionnaire for the evaluation of socio-demographic characteristics of respondents and health care utilization were used.
Results
In the group of respondents aged 18-65 the dimension that was related to physical functioning was assessed as best
(79.1±25.6), while the dimension concerning the vitality was assessed as the worst (56.1±19.9). In the group of respondents older than 65 the dimension related to social functioning was assessed as best (65.4±24.9), and the dimensions related to general health was assessed as worst (47.7±20.4). Family physicians were visited by significantly more respondents older than 65 than those from the age group 18-65 (94% vs.74%) (p= 0.000). Scores on the scales of general health (p=0.021) and social functioning (p=0.024) in respondents older than 65 had a significant impact on visits to family physicians.
Conclusion
Poor self-rated general health and better social functioning are important predictors of visiting family physicians by
elderly persons.

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40.
Amira Kurspahić-Mujčić.
41.
Katedra za socijalnu medicinu, Medicinski fakultet.
42.
Dom Zdravlja G, Vakuf-Uskoplje.
43.
Bosna i Hercegovina SAŽETAK Cilj Evaluirati utjecaj osam dimenzija samoprocjene zdravlja, mjerenih upitnikom SF-36, na posjete ljekaru porodične medicine kod osoba starijih od 65 godina. dvije dobne grupe:od 18 do 65 godina (n=100) i stariji od 65 godina (n=100). Kantonalni zavod za javno zdravstvo Zenica;
44.
Rezultati U grupi ispitanika u dobi od 18 do 65 godina najbolje je bila ocijenjena dimenzija koja se odnosila na fizičko funkcioniranje (79.1±25.6), a najlošije dimenzija koja se odnosila na vitalnost. p. 56–7.
45.
Skorovi na skalama općeg zdravlja.
46.
i socijalnog funkcioniranja (p=0.024) kod ispitanika starijih od 65 godina imali su signifikantan utjecaj na posjete ljekaru porodične medicine.
47.
Ključne riječi:star, primarna zdravstvena zaštita.

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