Evidence map›Paper›PMID 34703245›Full record

ArticleJournal of multidisciplinary healthcare2021

Unmet Healthcare Needs Among Elderly Malaysians.

Shamsul Azhar Shah, Nazarudin Safian, Saharuddin Ahmad, Siti Rohani Nurumal, Zulkefley Mohammad, Juliana Mansor, Wan Abdul Hannan Wan Ibadullah, Yugo Shobugawa, Megumi Rosenberg

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Eldercare's Turnover Intention and Human Resource Approach: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Healthy Ageing in Malaysia by 2030: Needs, Challenges and Future Directions.The Malaysian journal of medical sciences : MJMS · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Unmet Healthcare Needs Predict Depression Symptoms among Older Adults.International journal of environmental research and public health · 2022
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Shamsul Azhar ShahDepartment of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Nazarudin SafianDepartment of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Saharuddin AhmadDepartment of Family Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.ORCID 0000-0002-7543-4212
Siti Rohani NurumalDepartment of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Zulkefley MohammadDepartment of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.ORCID 0000-0003-2426-867X
Juliana MansorDepartment of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Wan Abdul Hannan Wan IbadullahDepartment of Community Health, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
Yugo ShobugawaDepartment of Active Aging, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.ORCID 0000-0003-2851-0101
Megumi RosenbergCentre for Health Development, World Health Organization, Kobe, Japan.
National University of Malaysia · MYNiigata University · JP

Funding

World Health Organization 001
6 · The paper itself

Abstract

purposeOlder people often have chronic diseases which require a continuity of care over the long term. Countries undergoing population aging need to ensure that older people are receiving the care they need. This study assesses the prevalence of, reasons for, and factors associated with unmet healthcare needs among older people individuals in Malaysia. PATIENTS AND

methodsThis cross-sectional study used data collected during 2018-2020 from 1204 older adults aged 60 and older selected from Selangor state, Malaysia. A comprehensive face-to-face interview based on the Bahasa Malaysia version of the Japan Gerontological Evaluation Study (JAGES-BM) questionnaire was administered to gain information on unmet healthcare needs, socioeconomic factors, health-related factors, and measures of function (activities of daily living, depression, visual impairment, hearing impairment, memory impairment, and walking impairment). Multivariate logistic regression was used to analyze factors associated with their unmet healthcare needs.

resultsOverall, the percentage of older people respondents with unmet healthcare needs is 6.6%. The most reported reasons for forgoing or delaying healthcare were lack of knowledge about healthcare and financial barriers to care. The inability to travel alone (adjusted odds ratio [aOR] 2.51), being overweight (aOR 1.88), and having self-reported depression (aOR 2.23) were each associated with a higher likelihood of having unmet healthcare needs in their daily life.

conclusionThe prevalence of unmet healthcare needs among older people in this part of Malaysia is lower than that reported in some other countries. However, it is possible to further reduce unmet healthcare needs by improving people's knowledge and attitudes about appropriate healthcare utilization, strengthening financial protection measures and providing support to people at high risk of having unmet healthcare needs.

Indexed as

healthcare needsMalaysiaold age

Identifiers

PMID34703245
PMCPMC8526943
OpenAlexW3205291848

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.