Assessment of the level of disadvantage in people aged 65+
																	
									Authors:
											J. Neugebauer; 											Ž. Němcová										
				
									Authors‘ workplace:
											CEVRO Univerzita, Praha
						1										
				
									Published in:
					Prakt. Lék. 2025; 105(3): 120-125
					
				
									Category:
					Of different specialties
					
				
							
Overview
The age of 65 is a current milestone in the social sphere in the Czech Republic and indicates the possibility of retirement. This is also associated with health and social consequences, cultural restrictions, social isolation, the development of geriatric syndrome, and polymorbidity. Our study focuses on assessing the degree of disadvantage in people aged 65 and over using the standardized WHODAS 2.0 tool. A total of 1128 questionnaires were analyzed, indicating significant limitations in all areas examined understanding and communication, mobility, self-care, establishing relationships with other people, household care, and participation in society. According to previous studies, we also monitored the value of overall disadvantage in the area of involvement in society. We found that this value exceeds the disadvantage value in the area of mobility, and the overall level surpasses that of a third of the sample. The study emphasizes the need for support for geriatric patients. The current system is in line with this discourse and is therefore still very relevant and suitable for further exploration.
Keywords:
geriatrics – WHODAS 2.0 – population 65+ – disadvantage
Sources
- Dehi M, Mohammadi F. Social participation of older adults: a concept analysis. Int J Community Based Nurs Midwifery. 2020; 8(1): 55–72.
 - Dipietro L, Campbell WW, Buchner DM, et al. Physical activity, injurious falls, and physical function in aging: an umbrella review. Med Sci Sports Exerc. 2019; 51(6): 1303–1313.
 - Doležalová J, Tóthová V, Neugebauer J, Sadílek P. Impact of selected geriatric syndromes on the quality of life in the population aged 60 and older. Healthcare 2021; 9(6): 657.
 - Doležalová J, Tóthová V, Neugebauer J. Selected aspects of nursing practice related to the usage of evaluation tools for population aged over 60 years. Kontakt 2022; 24(2): 131–136.
 - Mitzner T, Beer JM, McBride SE, et al. Older adults’ needs for home health care and the potential for human factors interventions. Proc Hum Factors Ergon Soc Annu Meet. 2009; 53(11): 718–722.
 - Neugebauer J, Bártlová S. Důsledky předsudků na poskytování zdravotní péče pacientům se znevýhodněním. Prakt. Lék. 2022; 102(1): 32–36.
 - Neugebauer J, Doležalová J, Tóthová V, Olišarová V. Sebereflexe potřeb pacientů s tělesným znevýhodněním v průběhu hospitalizace. Prakt. Lék. 2021; 101(1): 17–20.
 - Neugebauer J, Vokoun M, Lovětínská I, Rotschedl J. Access to healthcare services for vulnerable populations in the Czech republic. Social Policy Issues 2025; 1–27.
 - Olsson A, Berglöv A, Sjölund BM. Longing to be independent again – a qualitative study on older adults’ experiences of life after hospitalization. Geriatr Nurs. 2020; 41(6): 942–948.
 - Papp ME, Grahn-Kronhed AC, Rauch Lundin H, Salminen H. Changes in physical activity levels and relationship to balance performance, gait speed, and self-rated health in older Swedish women: a longitudinal study. Aging Clin Exp Res. 2021; 34(4): 775–783.
 - Prell T, Wientzek R, Schönenberg A. Self-management of geriatric syndromes-an observational study. BMC Geriatr. 2023; 23(1): 731.
 - Senkoro E, Mbabazi P, Banturaki G, et al. The impact of geriatric syndromes on quality of life among older people living with HIV in Kampala, Uganda. Front Public Health. 2024; 12 : 1306151.
 - Shaffer T, Vaterlaus JM, Tarabochia D, et al. Interpersonal relationships and physical activity across the lifespan: a qualitative study with older adults. J Adult Dev. 2024; 1–15.
 - ÚZIS. WHO Disability Assessment Schledule 2.0. [online]. Dostupné z: https://www.uzis.cz/index.php?pg=registry-sber-dat-klasifikace-who-disability-assessment-schedule [cit. 2025-07-11].
 - Vroman KG, Arthanat S, Lysack C. Who over 65 is online? Older adults’ dispositions toward information communication technology. Comput Human Behav. 2015; 43(1): 156–166.
 - WHO. WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) [online]. World Health Organization. 2025. Dostupné z: https:// www.who.int/standards/classifications/international-classifica- tion-of-functioning-disability-and-health/who-disability-assessment-schedule [cit. 2025-07-11].
 
adresa pro korespondenci:
Mgr. Jan Neugebauer, Ph.D., MBA
CEVRO University 
Jungmannova 17, 110 00 Praha 1 
e-mail: jan.Neugebauer@cevro.cz
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
					2025 Issue 3
- Hope Awakens with Early Diagnosis of Parkinson's Disease Based on Skin Odor
 - Memantine Eases Daily Life for Patients and Caregivers
 - Memantine in Dementia Therapy – Current Findings and Possible Future Applications
 - What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
 - Metamizole vs. Tramadol in Postoperative Analgesia
 
Most read in this issue
- Women’s experiences of care during caesarean delivery
 - Large multilocular thymic cyst in a patient with multiple autoimmune diseases: a case report
 - Results of the Czech Myeloma group project CRAB I
 - Assessment of the level of disadvantage in people aged 65+