长期护理需求评估:国家优先设定服务分配优先原则的表达
Ann Katrin Blø Pedersen1, Marianne Sundlisæter Skinner2, Maren Sogstad3
1Centre for Care Research, Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Teknologivegen 22, 2815, Gjøvik, Norway. ann.k.b.pedersen@ntnu.no.
BMC health services research
|April 26, 2024
概括
服务分配者在决定老年人长期护理时使用资源,严重性和福利原则. 相互矛盾的原则可能会导致无法满足脆弱的老年人的需求.
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:
- 越来越多的需求和稀缺的资源是老年人长期护理的特点.
- 政策战略强调"现场老龄化"和资源效率.
- 关于长期护理资源分配的决策过程的研究有限.
研究的目的:
- 探讨如何将三个政治原则 - - 资源,严重性和福利 - - 应用于老年人服务分配.
- 了解优先设定原则在挪威长期护理中的实际应用.
主要方法:
- 使用半结构面试,焦点小组和对挪威服务分配者的观察进行的定性研究.
- 数据补充了分配办公室的决定信.
- 分析采用反射的主题分析.
主要成果:
- 服务分配者在需求评估和服务分配中使用了所有三个原则 (资源,严重程度,效益).
- 这些原则往往在分配过程中产生了相互矛盾的方向.
- 六个主题出现了:最低有效的护理水平,全方位的低成本服务,医疗/康复严重程度,一般护理需求严重程度,慷慨分配的好处和避免服务的好处.
结论:
- 原则表达符合政治趋势,例如"老化在现场"和优先考虑"最糟糕的情况".
- 专注于康复潜力和自我照顾可能会冒着脆弱的老年人的未满足需求的风险.
- 定义复杂需求的严重程度在"最差"地位和未来的分配潜力之间引发了争论.
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