Barriers and enablers to healthcare access for older adults in Cambodia: perspectives of healthcare professionals – a qualitative study

Objective To explore health professionals’ perspectives on the barriers and enablers of healthcare access for older adults in Cambodia. Design A qualitative study based on semi-structured interviews conducted in Khmer, recorded, transcribed, translated into English and analysed using an abductive thematic analysis approach. Setting Phnom Penh, Cambodia. Participants A purposive sample of 11 health professionals serving in diverse roles and sectors participated in the study. Results Three key barriers emerged: (1) institutional barriers, (2) patient-specific access barriers and (3) communication barriers. However, four key enablers were also identified: (1) supportive healthcare environment, (2) reaching out to improve access to health services, (3) peer and community engagement and (4) government direct support to access healthcare. Despite previous policy efforts, gaps in the implementation of healthcare services for older adults persist across all health facilities. Health professionals identified that improving healthcare access for older adults in Cambodia requires a multifaceted strategy involving proactive outreach, health promotion, financial assistance and stronger community and family support. Conclusion Effective policy implementation requires collaboration among stakeholders and the active involvement of older adults in programme design to enhance dignity and well-being in Cambodia’s ageing population.