Influential Factors in the Accessibility of Primary Healthcare Services during the COVID-19 Outbreak of Older People with Chronic Diseases in Nakhon Si Thammarat Province
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Abstract
The cross-sectional study aims to study 1) the level of health services accessibility, social support and satisfaction with services and quality of primary care services, and 2) the : factors influencing of the accessibility of primary health care services for older people with chronic diseases. 422 older people with chronic diseases were recruited using multi-stage random sampling. Three experts checked the reliability
value of the questionnaire, which was 0.971. the data were analysed using descriptive statistics and multiple regression statistics. The research found that satisfaction with service and quality, an aspect of
an interesting personality, has the highest mean (Mean + SD: 4.37 + 0.56). Regarding social support, the assistance element has the highest mean (4.14+0.67). The factors influencing access to primary health care services included satisfaction with an interesting personality, help and support, coordination, information support, evaluation support, quality of service, and expense. In addition, the number of times to have service and marital status (separated/divorced) can predict 79.5 percent (Adj. R2 = 0.795). Therefore, healthcare service units should emphasize safety from infection, and the system for older people to access health services should be developed and organized to be more efficient for them to trust to use the health services.
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