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从世卫组织框架到综合高级健康和健康中心计划:一个实施之旅
Xiaoting Huang1,2, Hao Yi Tan3,4,5, Pei Ling Er6
1Population Health and Integrated Care Division, Singapore General Hospital, Singapore, Singapore.
综合老年健康和健康中心计划成功地将世卫组织ICOPE框架适用于社区环境,增强对老年人的预防性护理. 主要挑战包括资源限制,但能力建设和社区参与促进了成功.
科学领域:
- 老年学与公共卫生
- 实施科学 实施科学
- 综合护理模式 综合护理模式
背景情况:
- 全球人口老龄化,增加了对有效的公共卫生策略的需求,以保持老年人的功能能力和福祉.
- 世界卫生组织 (WHO) 的老年人综合护理 (ICOPE) 框架为综合护理提供了一个模型.
- 基于社区的护理模式对于支持老龄化人口至关重要.
研究的目的:
- 为老年人提供综合照顾,制定一个基于实施的,情境敏感的综合照顾模式.
- 试点综合老年人健康和健康 (ISHW) 中心计划,在社区环境中运行世卫组织ICOPE框架.
- 将健康干预与社会参与相结合,以解决健康的身体和心理社会决定因素.
主要方法:
- 利用实施研究综合框架 (CFIR) 和变化理论 (ToC) 来指导计划设计和试点.
- 实施了多方面方法,包括社区驱动的内在能力评估,营养教育和体育活动干预措施.
- 采用"培训培训师"模式,在社区工作人员和志愿者中建立能力.
主要成果:
- 通过ISHW Hub计划,证明了将ICOPE原则整合到社区环境中的可行性.
- 确定了资源限制和跨部门协调的必要性作为关键的实施挑战.
- 突出了结构化的能力建设,社区参与和与国家老龄化政策的协调,作为成功的促进者.
结论:
- ISHW中心计划提供了一个以社区为中心的模式,以促进健康老龄化和支持老龄化.
- 该研究为适应基于ICOPE的计划提供了指导,以在不同的社区环境中整合健康和社会护理.
- 计划进行进一步的评估,以评估基于社区的ICOPE实施的纵向结果和可扩展性.
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