Publication:
NEEDS FOR LONG-TERM ELDERLY CARE FACILITIES – PUBLIC’S PERSPECTIVE IN KUCHING, SARAWAK, MALAYSIA

Date
2022
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Publisher
International Medical University
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Abstract
ntroduction: Malaysia is postulated to become an aging nation by 2030, where the elderly population above 60 years old would reach 15% of the total population. The objective of this research is to understand the needs for long- term elderly care facility from the residents’ family member’s perspectives, as they are the decision makers. It is timely to gather evidence in Sarawak as there is no study done to-date. Methods: A qualitative, inductive, exploratory research design is applied in this research. In-depth interviews were conducted with family members of the residents of long-term elderly care facilities. They were recruited via purposive sampling from the researcher’s network. Saturation occurred at 8th participant. Data was analysed using thematic content analysis. Results: 5 main themes and 16 sub-themes were derived in 5 phases, namely Phase 1 (Challenges in caring for elderly family member), Phase 2 (Decision making to transfer to long-term elderly care facility), Phase 3 (Criteria for selecting long-term elderly care facility), Phase 4 (Experience at long-term elderly care facility) and Phase 5 (Expectation to improve quality of care). Space, hygiene and environment, location and distance from home and cost have been reported as important criteria for family members, and expectation to improve on service and facility have been outlined. Conclusion: Space, hygiene and environment, location and distance from home and cost are deemed important considerations for family members when choosing long-term elderly care facilities. Policy makers can consider expanding scope of government healthcare services to home visits and provide transportation to address the challenges faced by family members. Social and Welfare Department could encourage facility operator to register their business with the authority, as a mean to evaluate and accredit the standard of care to cover processes, procedures, facilities, and manpower. Guidelines for registration should be concise and cover core aspects and application for registration be made swift and efficient. Keywords: Elderly, nursing home, aged care, demand
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Keywords
Aged, Nursing Homes, Qualitative Research, Quality of Health Care
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