A study to assess the health care utilization and the activities of the daily living status amongst the geriatric population residing in urban and rural field practice areas of a medical college in Tamil Nadu

S. Karthikeyan; T. Palanivel Rajan; V. Raghuram; S. Pandi

doi:10.18203/2394-6040.ijcmph20241195

Authors

S. Karthikeyan Department of Community Medicine, Government Medical College, Pudukottai, Tamil Nadu, India
T. Palanivel Rajan Department of Community Medicine, Trichy SRM Medical College Hospital and Research Institute, Irungalur, Trichy, Tamil Nadu, India
V. Raghuram Department of Community Medicine, Trichy SRM Medical College Hospital and Research Institute, Irungalur, Trichy, Tamil Nadu, India
S. Pandi Department of Community Medicine, Trichy SRM Medical College Hospital and Research Institute, Irungalur, Trichy, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241195

Keywords:

Elderly, ADL, Chronic disease, Katz assessment scale, Healthcare utilization

Abstract

Background: The prevalence of disability in the activities of daily living (ADL), could probably have a significant impact on the healthcare utilization amongst the geriatric population with disability.

Methods: A cross-sectional study in the urban and rural field practice areas of a medical college in Tamil Nadu, using a sample size of 402 elderly individuals. Using the pre-tested, semi-structured questionnaire; the socio-demographic variables, healthcare utilization variables and a comprehensive Katz ADL assessment were used.

Results: The overall prevalence of ADL limitation amongst the elderly was seen in 49 (12.2%) elderly individuals mostly with a score of 5 (mildest form) was found in 36 (74%) of the elderly. There was an association found between the follow-up care at health centres, frequency of visits, distance from home to health centres and the ADL limitation with a P- value less than 0.05 (C.I.-95%) using the Pearson chi-square test using SPSS v.26.0.

Conclusions: The association between ADL limitation and healthcare utilization calls for initiatives at the family and community level.

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