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Older adults increasingly experience chronic and debilitating illnesses and disabilities. Many illnesses and disabilities require long term care support manage chronic illness, maintain function, and investigate daily living (White, et al., 2012). The present study aimed at identifying the factors affecting follow up among elderly patient suffering from chronic diseases attending to the medical outpatient clinics at Assiut University Hospital. Subject & methods: The present study carried out in six months started from October 2011 to April 2012. The sample consisted of 1179 elderly patient suffering from chronic disease. Structured Interview Questionnaire was developed by the researchers to collect the relative data, it consists of three parts. Part I: Included items related to socio demographic characteristic of the elderly patient. Part II: Included items related to chronic illnesses and family history. Part III: - Included investigations, frequency and place of follow up care. The main results of the present study showed that most of the elderly patient attending to outpatient clinic (84.1%) their age ranged from 60 -70 years old, and more than half of them (53.4%) were females, (77.8%) of the sample were married, and (81.4%) of them were illiterate, (64.9%) lived in rural area. The present study clear that about one third of elderly patient (32.7%) complain from chest disease , only (0.8%) patients complain from hepatitis disease, and (92.4%) of the elderly received their follow up care at University Hospital due to the health services and the low cost medications. Concerning the causes that preventing follow up: (53.3%) said due to the financial causes, (27.1%) at elderly depend on other member of the family and there are not available. Conclusion & Recommendation: The results obtained from this study revealed that the ability of older adults to access health care was negatively due to family income, disability and transportation. In the light of the results, the follow recommendations suggested: Health insurance must be available for all elderly people over 60 years old who live in rural and urban area. Elderly people and their family should be acquainted with different services available in the community to help elderly to meet their needs.

Routine Follow up Care among Elderly Patients Suffering from Chronic Diseases at Assiut University Hospital Clinics