长期护理覆盖和融资的最新创新:快速范围审查
Marilyn Macdonald1, Lori E Weeks2, Erin Langman2
1School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada marilyn.macdonald@dal.ca.
BMJ open
|February 22, 2024
概括
最近的长期护理 (LTC) 计划重点是改善老年人的覆盖和财务保护. 强制性LTC保险和足够的资金是实现老龄化和确保金融可持续性的关键.
科学领域:
- 老年学与公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 人口老龄化需要强大的长期护理 (LTC) 系统.
- 现有的LTC模式在覆盖范围,财务保护和长期可持续性方面面临挑战.
- 了解最近的举措对于为政策和实践提供信息至关重要.
研究的目的:
- 系统地审查和分析旨在提高LTC覆盖率的最近全球举措.
- 评估改善获得LTC的老年人的财务保护的策略.
- 确定有助于LTC系统财务可持续性的因素.
主要方法:
- 采用了快速范围审查方法.
- 在四个数据库和四个灰色文献来源 (2017-2022) 中进行文献搜索.
- 监督机器学习辅助选,随后进行独立审核员评估.
主要成果:
- 分析了24份报告 (22份同行评审,2份灰色文献).
- 这些倡议解决了与残疾,收入,居住,就业和公民身份相关的覆盖差距.
- 通过自费支出和贫困风险来检查财务保护;可持续性挑战包括融资和整合.
结论:
- 具有足够资金的强制性LTC保险支持"现场老龄化".
- 扩大覆盖范围提供了潜在的经济效益,并改善了老年人的健康和福祉.
- 可持续的LTC模型可以通过更长时间保持健康来降低下游医疗保健成本.
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