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Enablers and Barriers of Accessing Health Care Services among Older Adults in South-East Asia: A Scoping Review

Author

Listed:
  • Nurul Syuhada Mohd Rosnu

    (Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Devinder Kaur Ajit Singh

    (Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Arimi Fitri Mat Ludin

    (Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Wan Syafira Ishak

    (Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Mohd Harimi Abd Rahman

    (Optometry and Vision Sciences Programme, Center for Rehabilitation and Special Needs, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

  • Suzana Shahar

    (Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia)

Abstract

South-East Asia (SEA) is the home of the largest number of the world’s older population. In this scoping review, we aimed to map the existing enablers and barriers of accessing healthcare services among older adults in SEA countries. Articles that were published from January 2001 until November 2021 were searched in four data sources (PubMed, Web of Science, EBSCO Host and The Cochrane Library). Studies pertaining to the factors which assist or obstruct older Southeast Asian adults from assessing healthcare services were chosen for this scoping review. First, two reviewers screened the titles and abstracts of articles in the data sources. After identifying appropriate articles, the reviewers read them. Data extracted by one reviewer were verified by the other reviewer. The findings were then classified according to Penchansky and Thomas’s five domains of access. A total of 19 studies were included in the final scoping review. Accessibility and acceptability were the two factors most often identified as enablers or barriers to older adults from accessing healthcare. Other often mentioned factors were finances, transportation and social/family support. Older adults living in rural areas were especially impacted by these factors. To promote healthy ageing, optimum healthcare and wellbeing among older adults in Southeast Asia, it is extremely important to consider accessibility and acceptability when planning healthcare services.

Suggested Citation

  • Nurul Syuhada Mohd Rosnu & Devinder Kaur Ajit Singh & Arimi Fitri Mat Ludin & Wan Syafira Ishak & Mohd Harimi Abd Rahman & Suzana Shahar, 2022. "Enablers and Barriers of Accessing Health Care Services among Older Adults in South-East Asia: A Scoping Review," IJERPH, MDPI, vol. 19(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7351-:d:839597
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    References listed on IDEAS

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    1. Nurul Hidayah Md Fadzil & Suzana Shahar & Roslee Rajikan & Devinder Kaur Ajit Singh & Arimi Fitri Mat Ludin & Ponnusamy Subramaniam & Norhayati Ibrahim & Divya Vanoh & Nazlena Mohamad Ali, 2022. "A Scoping Review for Usage of Telerehabilitation among Older Adults with Mild Cognitive Impairment or Cognitive Frailty," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    2. Siti Salwana Kamsan & Devinder Kaur Ajit Singh & Maw Pin Tan & Saravana Kumar, 2021. "Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian," IJERPH, MDPI, vol. 18(7), pages 1-10, April.
    3. Rogie Royce Carandang & Edward Asis & Akira Shibanuma & Junko Kiriya & Hiroshi Murayama & Masamine Jimba, 2019. "Unmet Needs and Coping Mechanisms Among Community-Dwelling Senior Citizens in the Philippines: A Qualitative Study," IJERPH, MDPI, vol. 16(19), pages 1-16, October.
    4. Ann Pearman & MacKenzie L Hughes & Emily L Smith & Shevaun D Neupert & Amy Fiske, 2021. "Age Differences in Risk and Resilience Factors in COVID-19-Related Stress," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(2), pages 38-44.
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