ArticleBMC health services research2024
Older people's challenges accessing health services in central Nepal: a qualitative study using the domain of access framework.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Healthcare access and care experiences among adults aged 80 years and older: a qualitative study.BMC geriatrics · 2026Article
- Utilization patterns of eye care services among women in outreach camps: A retrospective study from Nepal.Journal of public health research · 2026Article
- Health-seeking challenges among older adults with hypertension in Nepal: a phenomenological study.BMC geriatrics · 2025Article
- Use of the Hypertension Self-Care Profile: A Scoping Review.International journal of environmental research and public health · 2025Article
- The Quality of Life and Associated Factors Among Older Adults in Central Nepal: A Cross-Sectional Study Using the WHOQOL-OLD Tool.International journal of environmental research and public health · 2025Article
- Navigating Nepal's health financing system: A road to universal health coverage amid epidemiological and demographic transitions.PloS one · 2025Article
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3 authors.
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Abstract
backgroundLow- and middle-income countries face rapid population aging. However, the health system has remained largely unprepared to deliver health services to an aging population. As the population is rapidly aging in Nepal, their challenges and experience should be the focus for health care providers to address these issues. There is a paucity of evidence on barriers and facilitators to accessing health care services among older people in Nepal. The aim of this study was to investigate the challenges that older people experience while accessing health services in central Nepal.
methodsThis qualitative study was conducted between April and June 2023. In-depth interviews were conducted among older people of a municipality in central Nepal, which were analysed thematically using a deductive-inductive approach based on the theory of access.
resultsHypertension and diabetes were the most common health problems among the participants. The affordability of health services was a major issue, although there is a health insurance scheme and a major focus on universal health coverage from the Government of Nepal. Other issues included poor acceptability, poor communication between older people and health staff, and poor accommodation due to a lack of elderly-friendly services, including long wait times in the clinic. Living with family was a major facilitator of access to health care services and was interrelated with multiple domains of access.
conclusionsThis study identified barriers to accessing health care services for older adults in Nepal. We found that the affordability of health services, poor acceptability, poor communication between older people and doctors, and a lack of elderly-friendly services are the key challenges experienced by older people. Older people felt that these barriers were easier to overcome when they had family support. Therefore, for those living with their children, family support was reported as the major facilitator.
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