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Challenges in Help-Seeking Behaviors among Rural Older People Mitigated through Family Physician-Driven Outreach: A Systematic Review

Author

Listed:
  • Ryuichi Ohta

    (Community Care, Unnan City Hospital, Unnan 699-1221, Japan)

  • Takuji Katsube

    (Community Care, Unnan City Hospital, Unnan 699-1221, Japan)

  • Chiaki Sano

    (Department of Community Medicine Management, Faculty of Medicine, Shimane University, Izumo 690-0823, Japan)

Abstract

Help-seeking behaviors (HSBs) refer to approaches taken by individuals towards their health and symptoms, and they are supported by healthcare professionals. Outreach interventions aimed at older people in rural communities can mitigate difficulties in implementing HSBs and help them remain healthy. This systematic review investigated evidence regarding family medicine-involved outreach aimed at HSBs among older individuals in rural areas. We searched three databases (PubMed, EMBASE, and Web of Science) for international and original interventional articles regarding family physicians involved in outreach to older people in rural or underserved areas between April 2000 and October 2022. The articles were analyzed and summarized based on the setting, country, health issues, and outreach outcomes. Of the 376 studies identified, four were included in this review. Our findings showed that family physician-involved outreach to rural and underserved areas improved health outcomes, including anxiety, subjective physical function, and diabetic care. The challenges of outreach interventions include the duration and continuity of outreach, the active participation of family physicians and patients in the outreach programs, and the focus of outreach participants. Although the number of studies included was small, family physician-involved outreach to rural and underserved areas was shown to improve various health outcomes.

Suggested Citation

  • Ryuichi Ohta & Takuji Katsube & Chiaki Sano, 2022. "Challenges in Help-Seeking Behaviors among Rural Older People Mitigated through Family Physician-Driven Outreach: A Systematic Review," IJERPH, MDPI, vol. 19(24), pages 1-8, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:17004-:d:1007078
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    References listed on IDEAS

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    1. Qinfeng Zhao & Jian Wang & Stephen Nicholas & Elizabeth Maitland & Jingjie Sun & Chen Jiao & Lizheng Xu & Anli Leng, 2020. "Health-Related Quality of Life and Health Service Use among Multimorbid Middle-Aged and Older-Aged Adults in China: A Cross-Sectional Study in Shandong Province," IJERPH, MDPI, vol. 17(24), pages 1-13, December.
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