中美洲痴呆症系统的整合:一种社交网络方法
Nereide A Curreri1, Dave Griffiths2, Louise Mccabe2
1University of Applied Sciences & Arts of Southern Switzerland (SUPSI), CH.
International journal of integrated care
|March 4, 2024
概括
中美洲的综合痴呆症护理面临着碎片化. 虽然构建块存在,但提供者之间的机会性联系阻碍了低收入和中等收入国家 (LMICs) 痴呆症老年人的协调战略.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 卫生系统研究 卫生系统研究
背景情况:
- 综合护理对患有痴呆症的老年人至关重要,与联合国健康老龄化十年保持一致.
- 在低收入和中等收入国家 (LMICs) 提供综合痴呆症护理的理解有限.
研究的目的:
- 探索中美洲综合性痴呆症护理的结构和潜力.
- 确定在LMICs中向痴呆症患者提供综合护理的障碍和促进者.
主要方法:
- 使用的社会网络分析 (SNA) 方法.
- 68个半结构面试与五个中美洲国家 (危地马拉,萨尔瓦多,洪都拉斯,哥斯达黎加,巴拿马) 的服务提供者和家庭进行.
主要成果:
- 痴呆症护理系统在研究国家中表现出分散性和低整合性.
- 有多种不同的服务和提供者存在,有很多潜在的联系,但意识差距阻碍了合作.
- 机会主义的联系,而不是协调的政策,标志着组织间的关系.
结论:
- 社交网络分析是评估LMIC护理系统的可行方法.
- 中美洲国家拥有综合性痴呆症护理的基本要素.
- 需要战略性资源配置和协调政策来加强整合并改善痴呆症护理.
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