Age-friendly Primary Health Care Centres Toolkit - World Health ...

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AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITSECTION IIIGeneral ObjectivesThis section aims to help the PHC centre adapt their administrative procedures tothe special needs of older persons and support continuity of care.Contents:III.1 Organizing services for an age-friendly centreIII.2 Patient care coordinatorsIII.3 Age-friendly appointmentsIII.4 Directory for community-based services for older peopleIII.5 Referral system between the PHC centre and the hospitalIII.6 Privacy guidelines for confidential examinations and consultations78
AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITIII.1 Organizing services for an age-friendly PHC centreThis section is primarily applicable to the health centre manager and local policy-makers.What are the key managerial elements for the success of an age-friendly PHCcentre?The effective implementation of an age-friendly PHC centre system will require politicalcommitment at the national and local levels, including adequate funding to meet theneeds of the older population and adequate number of trained staff.System reorientation of health systems towards continuing comprehensive care and anemphasis on a primary rather than a tertiary approach to care of older persons is needed.Below, there is a checklist of common operational and managerial barriers that mayimpact the effective implementation of the Age-friendly Principles in a PHC centre.Please make an action plan to address any barriers that are relevant to your PHC centreand include all stakeholders. Remember, the entire set of Age-friendly Principles doesnot need to be implemented at once – choose the principles you can implement andwork from there.Operational and managerial barriers1. Insufficient operationalization of Age-friendly Principles. Are there measurements orindicators that provide evidence of implementation of the Age-friendly Principles?2. Lack of, or incomplete information on health needed by the older population. Doesthe information system include appropriate health indicators for planning andevaluating the health needs of the older population?3. Absence of explicit responsibility for older people's health services negotiated withthe health system as part of the centre's management agreement. Does themanagement agreement include a budget for specific services to be provided forolder adults?4. Lack of clinical guides and protocols in geriatric preventive medicine including theprotocol for the periodic health exam of older adults. Is a periodic health exam withrequired lab and screening tests guaranteed to older adults?5. Lack of clinical guidelines, protocols and instrument to detect and address the healthneeds of older adults. Are clinical guides and protocols developed with the guidanceof professionals trained in geriatric care?6. Excessive focus on vertical problems based on disease rather than on an integratedapproach to improve the health in older age. Is quality of care estimated bymeasuring disease, or health and function?7. Lack of sustainable finance mechanisms to address the basic needs for essentialmedicine and nutrition of poor and extreme poor older adults. Are older adults thatare unable to purchase their medication or buy a balance meal able to receiveappropriate and timely assistance? How is their situation measured in comparisonwith the situation of other population groups?79
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