Evidence map›Paper›PMID 28724399›Full record

ArticleBMC geriatrics2017

Health needs, access to healthcare, and perceptions of ageing in an urbanizing community in India: a qualitative study.

Nandita Bhan, Pavitra Madhira, Arundati Muralidharan, Bharati Kulkarni, Gvs Murthy, Sanjay Basu, Sanjay Kinra

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Nandita BhanPublic Health Foundation of India, Plot 47, Sector 44, Gurgaon, India. nab289@mail.harvard.edu.
Pavitra MadhiraIndian Institute of Public Health Hyderabad, Hyderabad, India.
Arundati MuralidharanWaterAid in India, Delhi, India.
Bharati KulkarniNational Institute of Nutrition, Hyderabad, India.
Gvs MurthyIndian Institute of Public Health Hyderabad, Hyderabad, India.
Sanjay BasuStanford Prevention Research Center, Palo Alto, USA.
Sanjay KinraClinical Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Indian Institute of Public Health Gandhinagar · INLondon School of Hygiene & Tropical Medicine · GBNational Institute of Nutrition · INPublic Health Foundation of India · INStanford Health Care · US

Funding

Wellcome TrustWellcome Trust WT084754/Z/08/A
6 · The paper itself

Abstract

backgroundIndia's elderly population is rising at an unprecedented rate, with a majority living in rural areas. Health challenges associated with ageing, changing social networks and limited public health infrastructure are issues faced by the elderly and caregivers. We examined perceptions of health needs of the elderly across local stakeholders in an urbanizing rural area.

methodsThe qualitative study was conducted among participants in the Andhra Pradesh Children and Parents Study (APCAPS) site in Rangareddy district, Telangana. We collected data using focus group discussions and interviews among communities (n = 6), health providers (n = 9) and administrators (n = 6). We assessed stakeholders' views on the influence of urbanization on health issues faced and interventions for alleviating these challenges. We used a conceptual-analytical model to derive themes and used an inductive approach to organizing emerging codes as per a priori themes. These were organized as per thematic groups and ranked by different authors in order of importance. Bronfebrenner's theory was used to understand stakeholder perspectives and suggest interventions within four identified spheres of influence - individual, household, community and services.

resultsStakeholders reported frailty, lack of transport and dependence on others as factors impacting health access of the elderly. Existing public health systems were perceived as overburdened and insensitive towards the elderly. Urbanization was viewed positively, but road accidents, crime and loneliness were significant concerns. Interventions suggested by stakeholders included health service outreach, lifestyle counseling, community monitoring of healthcare and engagement activities.

conclusionsWe recommend integrating outreach services and lifestyle counseling within programs for care of the elderly. Community institutions can play an important role in the delivery and monitoring of health and social services for the elderly.

Indexed as

AgingPerceptionUrban PopulationAdultAgedAged, 80 and overCaregiversCohort StudiesFemaleHealth ServicesHealth Services AccessibilityHumansIndependent LivingIndiaLife StyleMaleAgeingElderlyGeriatric careIndia

Identifiers

PMID28724399
PMCPMC5517927
OpenAlexW2739244968

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.