Barriers to Elderly Health Care in the Occupied Palestinian Territories

Int J Soc Determinants Health Health Serv. 2024 Apr;54(2):143-150. doi: 10.1177/27551938231217413. Epub 2023 Nov 28.

Abstract

This study examined different barriers to the access and utilization of primary health care services by the elderly in the occupied Palestinians territories. We collected quantitative data from a larger convenience sample of a national survey of 1299 persons in the occupied Palestinian territories (oPt) that examined the effects of Israel's colonization and its effects on health care delivery between October 2021 and February 2022. The research tool was based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questionnaire. The data was obtained from 76 elderly participants with a mean age of 68.33 years standard deviation (SD = 7.09 years). The majority (75%) reported having at least one chronic health issue and having limited access to health care. They had all finished at least six years of education. The participants claimed having health insurance, while 47.4 percent reported paying for out-of-pocket expenses and medical care was a burden. Access and affordability of health care was a problem for 70 percent of participants. Older persons and their families face access to care issues created by political, geographic, and economic barriers. Poor incomes, war-like conditions, a weak health care system, and a lack of comprehensive care delivery all impact their health.

Keywords: Palestine; elderly; health care; inequities; oPt.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arabs*
  • Delivery of Health Care*
  • Health Expenditures
  • Health Facilities
  • Humans
  • Insurance, Health