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Data from the PASSI d’Argento Surveillance System on Difficulties Met by Older Adults in Accessing Health Services in Italy as Major Risk Factor to Health Outcomes

Author

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  • Benedetta Contoli

    (National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Valentina Possenti

    (National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Rosaria Gallo

    (Primary Healthcare Unit, Health District 9, Local Health Unit Roma 2, 00159 Rome, Italy
    PhD Course Advances in Infectious Diseases, Microbiology, Legal Medicine and Public Health Sciences, Sapienza University of Rome, 00185 Rome, Italy)

  • Valentina Minardi

    (National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, 00161 Rome, Italy)

  • Maria Masocco

    (National Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, 00161 Rome, Italy)

Abstract

(1) Age-friendly health systems ensure access to quality healthcare services to all people, especially older adults. (2) We used data on elderly population collected from 2016 to 2019 by the Italian ongoing surveillance system PASSI d’Argento to analyze the prevalence and associations between accessing health services and modifiable risk factors included in the 25 × 25 strategy for the burden of noncommunicable diseases with health outcomes. (3) Chronic diseases and hospitalization as descriptors of health status showed that the elderly perceived as having poor access to care and prevention incurred a higher risk of hospitalization. The association between difficulties in accessing health services and hospitalization was always the highest in terms of the adjusted prevalence ratio (aPR), regardless of the other behavioral risk factors considered, controlling each model with sociodemographic conditions. Elderly hospitalized at least once for two days or more in the last 12 months had greater risk to have problems in accessing health services, whereas the model included health conditions such as obesity (aPR = 1.95 95% CI 1.75–2.17), smoking (aPR = 1.95 95% CI 1.76–2.16), alcohol use (aPR = 1.93 95% CI 1.73–2.14), hypertension (aPR = 1.92 95% CI 1.73–2.13) and diabetes (aPR = 1.91 95% CI 1.73–2.12). (4) Health policies should encompass socio-economic and living environment barriers which prevent access to care among older adults.

Suggested Citation

  • Benedetta Contoli & Valentina Possenti & Rosaria Gallo & Valentina Minardi & Maria Masocco, 2022. "Data from the PASSI d’Argento Surveillance System on Difficulties Met by Older Adults in Accessing Health Services in Italy as Major Risk Factor to Health Outcomes," IJERPH, MDPI, vol. 19(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10340-:d:892671
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    References listed on IDEAS

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    1. Tsuyoshi Hamano & Kazumichi Tominaga & Miwako Takeda & Kristina Sundquist & Toru Nabika, 2015. "Accessible Transportation, Geographic Elevation, and Masticatory Ability Among Elderly Residents of a Rural Area," IJERPH, MDPI, vol. 12(7), pages 1-9, June.
    2. Pamela Z. Cacchione, 2020. "Age-Friendly Health Systems: The 4Ms Framework," Clinical Nursing Research, , vol. 29(3), pages 139-140, March.
    3. Tao Zhang & Chaojie Liu & Ziling Ni, 2019. "Association of Access to Healthcare with Self-Assessed Health and Quality of Life among Old Adults with Chronic Disease in China: Urban Versus Rural Populations," IJERPH, MDPI, vol. 16(14), pages 1-14, July.
    4. Federica Nobile & Rosaria Gallo & Valentina Minardi & Benedetta Contoli & Valentina Possenti & Maria Masocco, 2022. "Urban Health at a Glance in Italy by PASSI and PASSI d’Argento Surveillance Systems Data," Sustainability, MDPI, vol. 14(10), pages 1-12, May.
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