265827 Application of WHO 10-Minute Comprehensive Screening Tool in Age- friendly Primary Health Care (AFC) Center in Sub-urban area

Monday, October 29, 2012

Jyh-Gang Hsieh, MD , Department of Family Medicine, Hualien Tzuchi Medical Center, Hualien, Taiwan
Ying-Wei Wang, MD, PhD , Department of Family Medicine, School of Medicine, Hualien Tzuchi Medical Center, Tzu Chi University, Hualien, Taiwan
Introductions: World Health Organization (WHO) has recognized the critical role of primary health care (PHC) centers in caring of age people. With the rapidly increasing number of age population in the community, the services are more diverse, complex and challenging for PHC centers. The 10-minute comprehensive screening tool for elderly was developed by WHO. It is a practical tool for screening elderly health care in the primary care setting. Methods: We started a pilot project based on WHO age-friendly primary health care toolkits at 3 sub-urban communities in Eastern Taiwan. The project included programs of training for staffs and volunteers, screening for every elderly visiting the health care center for the four geriatrics giants-memory loss, urinary incontinence, depression and falls, and improving the elderly friendly physical environment. Results: The preliminary results of the screening for ‘geriatrics giants' showed that the incidences of urinary incontinence and depression are 32.6% and 13% respectively. Experience of falls in recent year is 26.9%. The history of falling were related with urinary incontinence(p<0.05) and depressive moods(p<0.05). Conclusions: The WHO age-friendly primary health care toolkits are easily to use in the primary care setting. The 10-minute screening tool can be completed by trained volunteers, and the health care team can manage patients' problems depending on the abnormal screening results. This study showed a high prevalence of urinary incontinence and fall in primary care center in sub-urban area.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Public health or related research

Learning Objectives:
Demonstrate the usage and the preliminary outcomes of the WHO age-friendly primary health care toolkits

Keywords: Aging, Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal of goverment funded grants focusing on the health ageing. Among my scientific interests has been the development of strategies for promoting health of elderly.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.