绘制实施策略,以接触西北瑞士社区居住的老年人
Maria Jose Mendieta1,2, Geert Goderis3, Andreas Zeller4
1Nursing Science, Medizinische Fakultät, Department of Public Health (DPH), Universität Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
Implementation science : IS
|June 26, 2024
概括
针对老年人的新信息和咨询中心 (IAC) 的实施,尽管采取了各种策略,但影响力很低. 需要更高的忠诚度和精细的实施途径来改善社区住户老年人的访问.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 西北瑞士的新立法建立了信息和咨询中心 (IAC),以支持社区居住的老年人和他们的家人.
- 以前的研究表明,让老年人参与社区计划是有挑战的.
- 该研究探讨了有效地在老年人,护理人员和护理提供者中推广IAC服务的必要性.
研究的目的:
- 确定和实施促进信息和咨询中心 (IAC) 向社区居住的老年人推广战略.
- 监测这些实施策略的交付和忠实性.
- 评估这些策略对IAC服务对目标群体的覆盖范围的影响.
主要方法:
- 在2022年3月至9月期间进行了一项测试前测试后研究,涉及8,840名老年人 (65岁以上).
- 实施策略是使用实施映射开发的,并以捆绑方式交付.
- 评估重点是战略忠实性,覆盖范围,推来源和IAC覆盖范围,使用FRAME-IS记录调整.
主要成果:
- 七个实施策略被捆绑为不同的利益相关者群体,具有不同的忠诚度和覆盖范围.
- 针对老年人和护理人员的策略显示出比养老院更高的忠诚度.
- 在65岁以上的人群中,IAC的总体覆盖率为5.4%,主要来源是自我推和护理人员推.
结论:
- 实施映射在选择接触老年人的策略方面被证明是有效的.
- 低影响力表明需要提高战略交付的忠实性,并更深入地了解实施途径.
- 进一步完善战略是必要的,以提高社区居住的老年人的IAC服务的可访问性和采用性.
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