长期护理系统是否与以人为中心的综合护理保持一致? 来自西太平洋的证据
Dongkyu Lee1, Soojung Kim2, Soonman Kwon2
1Institute of Health and Environment, Seoul National University, Seoul, South Korea.
Health policy (Amsterdam, Netherlands)
|September 30, 2025
概括
西太平洋地区的长期护理 (LTC) 系统往往缺乏与医疗保健的整合,阻碍了老龄化. 改善治理,融资和监测对于更好的综合长期护理 (LTC) 至关重要.
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:
- 在西太平洋国家,人口快速老龄化需要强大的长期护理 (LTC) 系统.
- 现有LTC政策与现有老龄化综合护理原则 (AIP) 的协调需要审查.
- 有效地整合LTC与医疗保健对于护理连续性,改善结果和支持AIP至关重要.
研究的目的:
- 评估澳大利亚,日本,新西兰,韩国和新加坡的LTC政策与集成LTC原则的协调程度.
- 确定治理,融资,劳动力,服务提供,信息,监测和评估 (IM&E),创新和研究等领域的系统性推动因素和挑战.
- 为加强西太平洋地区的综合LTC提供见解.
主要方法:
- 对五个西太平洋国家的LTC政策进行了比较分析.
- 一个适应的世界卫生组织 (WHO) LTC 框架指导了政策分析.
- 该研究重点关注综合护理的关键领域:治理,融资,劳动力,服务提供,IM&E和创新.
主要成果:
- 所有研究的国家都通过机构和社区的LTC服务支持现场老龄化 (AIP).
- 在LTC和医疗保健部门之间存在显著的分散,阻碍了医疗保健的整合.
- 问责制,资金和发展不足的信息系统的挑战阻碍了协调的护理规划和综合监测.
结论:
- 西太平洋地区目前的LTC系统并不完全符合有效的综合护理原则.
- 加强协调治理,整合融资和激励措施,加强IM&E系统是必不可少的.
- 利用创新和研究对于推动整个地区整合的LTC至关重要.
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