评估现场衰老改革政策的绩效指标:一个范围审查和证据地图
Joost D Wammes1, Isabelle Vullings1, Dionne S Kringos2
1Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
这次审查确定了评估长期护理改革的绩效指标,以促进现场老龄化. 需要一个全面的框架,以更好地衡量系统的交付和对老年人和社会的影响.
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:
- 许多国家正在改革长期护理 (LTC) 系统,以支持现场老龄化.
- 目前还没有一个标准化的框架来评估这些LTC改革.
研究的目的:
- 确定用于评估现场老龄化 (AIP) 改革的绩效指标.
- 为制定LTC改革的综合评估框架提供信息.
主要方法:
- 进行了范围审查和文献证据地图.
- 在Medline,Embase和学术搜索Premier中进行了搜索.
- 绩效指标使用Donabedian框架 (结构,过程,结果) 进行分类.
主要成果:
- 综述中包括了58篇文章.
- 28篇文章讨论了结构指标 (支出,护理可用性,劳动力).
- 36篇文章讨论了过程指标 (护理利用率,服务质量,满意度).
- 20篇文章讨论了结果指标 (健康状况,非正式照顾).
结论:
- 目前的评估往往侧重于护理支出和利用,不太重视对老年人和社会的影响.
- 建议制定一个框架,为系统交付提供可操作的绩效指标,以及对现场老化的影响.
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