Transforming Caring for Dependent Older People: A New Approach for Integrated Socio-Healthcare

Area of Science:

• Gerontology and Public Health
• Healthcare Systems and Policy
• Social Gerontology

Background:

• The Mediterranean region faces challenges in socio-healthcare due to an aging population and socioeconomic disparities.
• Existing models inadequately address the needs of dependent older adults and those at risk of social exclusion.
• There is a critical need for sustainable, person-centered approaches in socio-healthcare provision.

Purpose of the Study:

• To develop and theoretically ground the TEC-MED framework, a novel integrated socio-health care model.
• To ensure holistic, ethical, and culturally responsive care for vulnerable older populations.
• To address the complexities of aging populations and socioeconomic disparities in healthcare.

Main Methods:

• Concept analysis using Walker and Avant's methodology, informed by empirical research.
• Framework design based on the nursing metaparadigm.
• Integration of interdisciplinary collaboration, digital health, and policy at multiple levels.

Main Results:

• The TEC-MED framework comprises six dimensions and five transversal values.
• The model enhances interdisciplinary coordination, digital innovation, and patient-centered care.
• Demonstrated applicability in diverse healthcare settings through case studies, addressing access disparities.

Conclusions:

• The TEC-MED framework offers a sustainable solution for integrated socio-healthcare for dependent older adults.
• Implementation implications include clinical practice, policymaking, and professional training, promoting health equity.
• The framework supports the humanisation of care, ensuring dignified and inclusive services for the elderly.