开发一个操作化的框架来比较消费者指向的老年人护理:来自专家调查和跨国比较的证据
Jinbao Zhang1, Yu-Chih Chen2, Cheng Shi3
1Personal Social Service Research Unit, University of Kent, Canterbury, UK.
Journal of aging & social policy
|December 27, 2023
概括
消费者导向护理 (CDC) 计划赋予老年人权力. 虽然强调对服务的控制,但多样性和支持选项在国际上显示出显著的差异.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共政策 公共政策
背景情况:
- 消费者导向护理 (CDC) 计划旨在通过提供控制和灵活性来提高老年人的健康结果.
- 各国的社会结构差异导致CDC政策设计的变化.
研究的目的:
- 分析和比较CDC政策设计中的国际变化.
- 为了使一个框架在三个维度中对CDC政策进行评估:控制/直接服务,各种选择,信息/支持.
主要方法:
- 对7个国家的12个CDC计划进行了跨国文档分析 (美国,英国,德国,荷兰,中国,澳大利亚,西班牙).
- 专家调查 (n=20) 为政策设计的分析提供信息.
- 利用一个三维框架来评估消费者方向特征.
主要成果:
- 疾病预防控制中心的计划在"控制和直接服务"方面展示了更为统一的政策设计.
- "多种服务选择"和"信息和支持"的政策设计在各国中表现出更大的异质性.
- 在消费者方向的三个维度中,重点不同.
结论:
- 已经制定了一个系统的框架来调查CDC的政策设计.
- 调查结果提供了对CDC政策特征的跨国见解,突出了潜在改进的领域.
- 结果可以为决策者提供信息,旨在加强消费者指导和赋予老年人权力.
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