采用参与式设计,制定一个实施框架,将老年人的跌倒预防纳入中国初级卫生保健系统
Pengpeng Ye1,2, Junyi Peng3, Ye Jin1,2
1National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
BMC geriatrics
|February 21, 2024
概括
在中国,老年人预防落.
科学领域:
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 中国国家基本公共卫生服务套餐 (NEPHSP) 要求社区老年人预防跌倒.
- 缺乏实施框架阻碍了预防跌倒的有效整合到初级医疗保健中.
- 这项研究解决了在NEPHSP内对预防跌倒的结构化方法的需求.
研究的目的:
- 共同制定一个实施框架,将老年人落预防纳入中国的NEPHSP.
- 确定在初级医疗保健机构内增强跌倒预防服务的关键机会和战略.
主要方法:
- 一个两阶段的在线参与式设计研究,涉及三个城市的八个与利益相关方的研讨会.
- 同时使用讯云会议软件进行数据分析和合成.
- 通过与研究人员和最终用户的研讨会,代开发和完善框架原型.
主要成果:
- 参与者发现,在NEPHSP中,防摔整合不足.
- 确定了五个关键的整合机会:劳动力培训,社区健康促进,健康检查,健康教育和计划后续行动.
- 创建了一个通用的实施框架,其中包括五个主题的11个共同开发的战略.
结论:
- 目前将防摔措施纳入NEPHSP的过程需要大大改进.
- 一种参与式的设计方法成功地产生了全面的实施框架和预防跌倒的战略.
- 开发的框架为其他地区或国家提供了有价值的见解,旨在加强老年人群的跌倒预防.
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