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Needs assessment for older people

I J Higginson1, C Victor

  • 1Department of Public Health, KCW Health Commissioning Agency, London, UK.

Journal of the Royal Society of Medicine
|August 1, 1994
PubMed
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This study assessed the health needs of older adults in a London district, estimating over 25,000 disabled individuals and significant mental health challenges like depression and dementia, highlighting a need for comprehensive care planning.

Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • Previous needs assessments focused on single diseases, not comprehensive care groups or individuals with multiple conditions.
  • This study addresses the gap by focusing on the health needs of the older population within a specific health authority.

Purpose of the Study:

  • To conduct a needs assessment for older people in a central London health authority, focusing on prevalence of disability and mental health conditions.
  • To estimate the number of older individuals requiring services based on disability severity and specific mental health diagnoses.

Main Methods:

  • Utilized data from national surveys like the General Household Survey and the Office of Population Census Survey (OPCS) Disability Survey.
  • Calculated estimates for various disabilities (locomotion, hearing, personal care) and mental health conditions (depression, anxiety, dementia) in the older population.

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  • Focused on individuals aged 75 and over, particularly those with high disability severity ratings.

    • Main Results:

    • Estimated over 25,000 disabled older people in the district, with locomotion, hearing, and personal care being the most common issues.
    • Identified approximately 7,328 individuals aged 75+ with high disability severity likely requiring services.
    • Estimated significant mental health needs: 6,000 with depression, 6,000 with anxiety, and 2,740-4,441 with moderate to severe dementia.

    Conclusions:

    • The majority of older people are well, indicating a need for health promotion and disease prevention strategies.
    • A substantial number of older adults experience significant disabilities and mental health conditions, requiring targeted local services.
    • Further steps involve matching the estimated prevalence of disease and disability with the availability of local services.