影响认知障碍社区卫生管理实施的决定因素:一种定性研究
Dongsheng Bian1,2, Weiwei Zhang3, Chenhao Yu4
1Department of Clinical Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
BMC geriatrics
|April 11, 2025
概括
对认知障碍的社区卫生管理面临诸如缺乏工具验证和激励措施不足等障碍. 解决这些问题和利用诸如数字工具和支持性政策等促进者,可以改善对老龄人口的照顾.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 健康管理健康管理
背景情况:
- 认知障碍是一个日益增长的全球健康挑战,特别是随着人口老龄化.
- 广泛推基于社区的查,护理和干预.
研究的目的:
- 为了确定多层次的障碍和促进社区健康管理认知障碍的促进者.
- 通过在中国上海的实施研究综合框架 (CFIR) 系统评估实施战略.
主要方法:
- 开发了一个基于CFIR的半结构面试指南.
- 与14个不同的利益相关者 (公共卫生,社区中心,专家) 进行了采访.
- 利用CFIR进行感应分析,以识别促进者和障碍者.
主要成果:
- 确定了8个促进者 (例如,社会参与,数字工具,支持政策,资金,融入服务,资源,团队,健康教育).
- 确定了10个障碍 (例如,缺乏工具验证,没有合作,PCP激励低,没有长期机制,专业知识不足,认识低,没有标准化计划).
结论:
- 突出了当前政策下的基于社区的认知障碍管理的关键促进者和障碍.
- 建议解决障碍,利用促进者来提高干预的有效性.
- 提供了国际背景的见解,并建议未来的实践整合和评估研究.
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