Prioritizing supports and services to help older adults age in place: A Delphi study comparing the perspectives of family/friend care partners and healthcare stakeholders.
Prioritizing supports and services to help older adults age in place: A Delphi study comparing the perspectives of family/friend care partners and healthcare stakeholders.
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DOI：
10.1371/journal.pone.0259387
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Doupe M
中科院分区：
文献类型：
--
作者：
Campbell M;Stewart T;Brunkert T;Campbell-Enns H;Gruneir A;Halas G;Hoben M;Scott E;Wagg A;Doupe M
就地老龄化(AIP)是一项旨在帮助老年人留在社区的政策战略。虽然国际上的规划者已经修改了老年人护理连续体系的各个方面(例如，家庭护理、辅助生活、养老院)，以促进AIP，但还需要进一步改进以社区为基础的支持和服务。这项研究比较和限制了家庭/朋友护理伙伴和医疗保健利益相关者(即规划者/提供者)认为对帮助老年人成功实施AIP最重要的基于社区的因素(例如，支持、服务和个人策略或特征)。根据学术文献初步列出了影响AIP的因素。这些因素被用来制定一项德尔福调查，分别针对护理合作伙伴和医疗保健利益相关者实施。受访者使用10分的利克特量表对每个因素的重要性进行评分(1分=不重要；10分=绝对关键)。当至少80%的参与者得分为≥8(“非常重要”)，四分位数范围为≤2时，每组的共识被定义为。受访者在德尔福第一轮中建议了其他因素。护理合作伙伴(N=25)和医疗保健利益相关者(N=36)分别完成了两轮和三轮德尔菲回合。这些组织独立地同意，以下3个因素(27个因素中的一个)对帮助老年人老龄化非常重要：确保一个人的家庭安全，保持牢固的人际关系，以及协调正规提供者的护理。虽然医疗保健利益相关者没有就其他因素达成共识，但护理合作伙伴一致认为，7个额外因素(例如，获得负担得起的住房、有心理健康计划)对AIP很重要。与医疗保健利益相关者相比，护理合作伙伴认为更多和更多样化的基于社区的因素对于支持老年人成功实施AIP非常重要。今后的研究应在其他法域复制这些研究结果，审查优先因素的可获得性和可及性，并制定可持续的解决办法，以提高其有效性。
Aging in place (AIP) is a policy strategy designed to help older adults remain in their community. While planners internationally have modified aspects of the older adult care continuum (e.g., home care, assisted living, nursing homes) to facilitate AIP, further improvements to community-based supports and services are also required. This study compared and constrasted the community-based factors (e.g., supports, services and personal strategies or characteristics) that family/friend care partners and healthcare stakeholders (i.e., planners/providers) view as most important to help older adults successfully AIP. An initial list of factors shown to influence AIP was created from the academic literature. These factors were used to develop a Delphi survey implemented separately on care partners and healthcare stakeholders. Respondents rated the importance of each factor using a 10-point Likert Scale (1 = not important; 10 = absolutely critical). Consensus in each group was defined when at least 80% of participants scored a factor ≥8 (“very important”), with an interquartile range ≤2. Respondents suggested additional factors during Delphi round one. Care partners (N = 25) and healthcare stakeholders (N = 36) completed two and three Delphi rounds, respectively. These groups independently agreed that the following 3 (out of 27) factors were very important to help older adults age in place: keeping one’s home safe, maintaining strong inter-personal relationships, and coordinating care across formal providers. While healthcare stakeholders did not reach consensus on other factors, care partners agreed that 7 additional factors (e.g., access to affordable housing, having mental health programs) were important for AIP. Compared to healthcare stakeholders, care partners felt that more and diverse community-based factors are important to support older adults to successfully AIP. Future research should replicate these findings in other jurisdictions, examine the availability and accessibility of the priority factors, and develop sustainable solutions to enhance their effectiveness.
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影响因子：
5.7
作者：
Friedman, SM;Steinwachs, DM;Mukamel, DB
通讯作者：
Mukamel, DB
影响因子：
1.8
作者：
Estabrooks, Carole A;Knopp-Sihota, Jennifer A;Norton, Peter G
通讯作者：
Norton, Peter G
影响因子：
1.6
作者：
Currin, Michelle L.;Comans, Tracy A.;Haines, Terry P.
通讯作者：
Haines, Terry P.
影响因子：
4.1
作者：
Bond, K. S.;Jorm, A. F.;Chalmers, K. J.
通讯作者：
Chalmers, K. J.
DOI：
10.1093/geronb/59.4.s202
发表时间：
2004-07-01
影响因子：
6.2
作者：
Ball, MM;Perkins, MM;Combs, BL
通讯作者：
Combs, BL