Research Article

Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study

Volume: 8 Number: 3 December 1, 2025
TR EN

Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study

Abstract

Objective: This research aims to deeply examine older adults’ experiences of accessing healthcare services and understand their expectations of healthcare services within the framework of Penchansky and Thomas’s Access Theory. Methods: It is a qualitative research. Fifteen people aged 65 and over with a history of accessing health services participated in the study. Face-to-face interviews were held. Deductive content analysis was conducted. Results: Older adults’ experiences accessing healthcare services were examined under the themes of accessibility, availability, acceptability, affordability, adequacy, awareness, and expectation. Seven categories and 18 codes were created. Conclusion: It was found that the majority of the elderly think that health services are not accessible and affordable, but are available, adequate and acceptable. Elderly people think that information and communication in health services are good. Their expectations were for good communication, good care and treatment, reduced waiting times at the hospital, improved appointment systems, no drug fees and home care services. It is recommended to develop practices such as home health services, tele-medicine and to make legal arrangements regarding the payment of medications. It is recommended to increase the employment of public health nurses in home care services.

Keywords

Aged , Health services , Qualitative research

References

  1. Adatara P, Amooba PA. (2020). A qualitative study to explore the experiences of older people utilising outpatient healthcare services from a teaching hospital in Ghana. BioMed Research International, 2020, 2593795. https://doi.org/10.1155/2020/2593795
  2. Aday LA, Andersen RM. (1981). Equity of access to medical care: a conceptual and empirical overview. Medical Care, 19(12), 4-27.
  3. Biernacki P, Waldorf D. (1981). Snowball sampling: Problems and techniques of chain referral Sampling. Sociological Methods & Research, 10(2), 141-63. https://doi.org/10.1177/004912418101000205
  4. Bostan H, Sertkaya Doğan Ö. (2019). According to population projections demographic transformation and opportunities in Turkey. Eastern Geographical Review. 24(41), 61-90. https://doi.org/10.17295/ ataunidcd.535018
  5. Cheng JM, Batten GP, Cornwell T, Yao N. (2020). A qualitative study of health-care experiences and challenges faced by ageing homebound adults. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy, 23(4), 934–942. https://doi.org/10.1111/hex.13072
  6. Frenk J, White KL. (1992). The concept and measurement of accessibility. In Health services research: An anthology (pp. 842-855).
  7. Fret B, De Donder L, Lambotte D, Dury S, Van der Elst M, De Witte N, et al. (2019). Access to care of frail community-dwelling older adults in Belgium: a qualitative study. Primary Health Care Research & Development, 20, e43. https://doi.org/10.1017 /S1463423619000100
  8. Gözlü M, Tatlıdil H. (2015). Access situation of the 81 provinces in Turkey to health services provided by public. Journal of Social Security. 5(2), 145-165.
  9. Huot S, Ho H, Ko A, Lam S, Tactay P, MacLachlan J, et al. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: important insights for health professionals. International Journal of Circumpolar Health, 78(1), 1571385. https://doi.org/10.1080/22423982.2019.1571385
  10. Hurley C, Panagiotopoulos G, Tsianikas M, Newman L, Walker R. (2013). Access and acceptability of community-based services for older Greek migrants in Australia: user and provider perspectives. Health & Social Care in The Community, 21(2), 140–149. https://doi.org/10.1111/hsc.12000
APA
Koçak, Y., Metin Gemici, E. Z., & Zincir, H. (2025). Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 8(3), 508-518. https://doi.org/10.38108/ouhcd.1501571
AMA
1.Koçak Y, Metin Gemici EZ, Zincir H. Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study. Ordu University J Nurs Stud. 2025;8(3):508-518. doi:10.38108/ouhcd.1501571
Chicago
Koçak, Yelda, Elif Zeynep Metin Gemici, and Handan Zincir. 2025. “Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8 (3): 508-18. https://doi.org/10.38108/ouhcd.1501571.
EndNote
Koçak Y, Metin Gemici EZ, Zincir H (December 1, 2025) Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8 3 508–518.
IEEE
[1]Y. Koçak, E. Z. Metin Gemici, and H. Zincir, “Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study”, Ordu University J Nurs Stud, vol. 8, no. 3, pp. 508–518, Dec. 2025, doi: 10.38108/ouhcd.1501571.
ISNAD
Koçak, Yelda - Metin Gemici, Elif Zeynep - Zincir, Handan. “Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8/3 (December 1, 2025): 508-518. https://doi.org/10.38108/ouhcd.1501571.
JAMA
1.Koçak Y, Metin Gemici EZ, Zincir H. Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study. Ordu University J Nurs Stud. 2025;8:508–518.
MLA
Koçak, Yelda, et al. “Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, vol. 8, no. 3, Dec. 2025, pp. 508-1, doi:10.38108/ouhcd.1501571.
Vancouver
1.Yelda Koçak, Elif Zeynep Metin Gemici, Handan Zincir. Experiences of Older Adults in Türkiye Accessing Healthcare Services: A Qualitative Study. Ordu University J Nurs Stud. 2025 Dec. 1;8(3):508-1. doi:10.38108/ouhcd.1501571