Barriers to Aging in Place for Rural, Institutionalized Older Adults: A Qualitative Exploration

How older adults experience the age-friendliness of Skopje: Results of the validation of the AFCCQ for use in North Macedonia and a representative survey

“…An alternative explanation is that older citizens may have a problem with the accessibility and affordability of the services. According Quinlan et al [ 43 ] and Casado et al [ 44 ] numerous structural barriers including lack of awareness, availability, accessibility, and affordability influence older adults’ use of formal services. As the population ages in North Macedonia, the family structures are changing and the health and social systems have a limited capacity to provide integrated and person-centered care, leaving older people in the country to face a number of health, social and economic challenges [ 45 ].…”

Intervención social dirigida al envejecimiento saludable: revisión de estudios recientes

“…Para tal fin, se han de esclarecer con suma pre- a las comunidades rurales, donde la población de mayores es más vulnerable a problemas de acceso a los servicios, de aislamiento social y de riesgos ambientales (Erickson et al, 2012;Quinlan et al, 2022).…”

A Scoping Literature Review of Rural Institutional Elder Care

“…In terms of staff management, there are a range of problems leading to the ineffective implementation of management systems. Some of these shortcomings are as follows: inadequate consideration of family members’ opinions by management and staff [ 96 ], lack of comprehensive nursing plans [ 97 ], limited resources [ 96 ], and insufficient continuous education for staff [ 98 ]. Due to information asymmetry and other factors in the management of old-age residents, there are inconsistencies in the practices of nursing staff during the initial transition period when the elderly enter long-term care institutions [ 99 ].…”