一个与访问相关的物流框架,描述了老年人照顾者面临的挑战
Victoria Ngo1, Steven D Shirk1,2, Elizabeth S Chamberlin1
1New England Geriatric Research Education and Clinical Center (NE GRECC), Bedford VA Healthcare System, Bedford, Massachusetts, USA.
The Gerontologist
|March 5, 2025
概括
无薪家庭护理人员面临着协调老年人的医疗访问的复杂挑战. 新的访问相关物流 (VAL) 框架有助于了解这些负担并改善护理.
科学领域:
- 老年学和医疗保健物流物流
- 护理人员支持系统 护理人员支持系统
- 公共卫生与老龄化问题
背景情况:
- 医疗保健系统越来越多地支持现场老龄化,增加了无薪家庭护理人员的作用.
- 对老年人的照顾者来说,协调面对面的临床访问是关键的,但尚未研究的责任.
- 现有的研究缺乏一个系统的框架来描述医疗预约护理人员协调的复杂性.
研究的目的:
- 解决了解医疗访问物流的护理人员协调的差距.
- 开发一个概念框架来分析非正式照顾者所面临的挑战.
- 为支持护理人员和改善老年人获得医疗保健的战略提供信息.
主要方法:
- 开发了一个概念框架,整合了照顾者压力,老年病学和访问物流.
- 该框架,访问相关物流 (VAL),概念化了访问挑战如何影响护理和预约出席.
- 纳入的领域包括安排,准备,时间/旅行,照顾者独立性,日常干扰和情绪影响.
主要成果:
- 访问相关物流 (VAL) 框架为了解护理人员协调挑战提供了一个结构化的方法.
- 确定了关键领域:安排,准备,时间/旅行,护理人员的独立性,日常干扰和护理人员的感受.
- 强调协调老年人的医疗访问的多方面性质.
结论:
- VAL框架为医疗访问的非正式护理人员协调提供了一个新的概念.
- 了解这些物流领域对于评估护理人员负担及其对健康结果的影响至关重要.
- 这一框架可以指导未来的研究和干预措施,以支持护理人员,并加强对老龄化人口的医疗保健服务.
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