The feasibility and acceptability of a specialist health and social care team for the promotion of health and independence in 'at risk' older adults
The feasibility and acceptability of a specialist health and social care team for the promotion of health and independence in 'at risk' older adults
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DOI：
10.1111/j.1365-2524.2005.00541.x
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发表时间：
2005-03-01
影响因子：
2.4
通讯作者：
Deave, T
中科院分区：
文献类型：
--
作者：
Drennan, V;Iliffe, S;Deave, T
人口老龄化、养恤金、保健和长期护理费用不断上升，促使欧洲联盟和其他发达国家制定了一项新的积极老龄化和老年生活质量政策议程。在英格兰，《国家老年人服务框架》首次明确要求国家保健服务系统和地方当局结成伙伴关系，商定促进老年人健康和预防老年人疾病的方案。预计这些方案将改善老年人获得主流健康促进服务的机会，并制定多机构倡议，促进老年人的健康、独立和福祉。本文介绍了一个机构间项目小组成立，以测试解决老年人通过初级保健促进健康的机制的评价。一个混合的方法被用来了解服务开发的过程中，团队的干预的影响，以及对老年人的主要和次要成果。该项目表明，多机构伙伴关系有可能改善全科医生认为“有风险”的老年人的生活质量，特别是通过创收，但也可以确定未被承认的高血压、听力损失和视力损失等医疗问题。它还为开发类似服务的其他多机构小组提供了一些重要的学习点。
Population ageing, escalating costs in pensions, health-care and long-term care have prompted a new policy agenda for active ageing and quality of life in old age across the European Union and other developed countries. In England, the National Service Framework for Older People (NSF OP) explicitly demands for the first time that the NHS and local authorities, in partnership, agree programmes to promote health ageing and to prevent disease in older people. These programmes are expected to improve access for older people to mainstream health promotion services and also to develop multiagency initiatives to promote health, independence and well-being in old age. This paper describes the evaluation of one interagency project team established to test out mechanisms for addressing health promotion for older people through primary care. A mixed methodology was used to understand the processes of service development, the impact of the team's intervention, and the primary and secondary outcomes for older people. The project demonstrated that multi-agency partnerships have the potential to improve the quality of the lives of older people deemed 'at risk' by their general practitioners, particularly through income generation but also in the identification of medical problems such as unrecognised hypertension, hearing loss and visual loss. It also offered some key learning points for other multi-agency groups developing similar services.