年龄友好型卫生系统:从宽度转向深度
Robert E Burke1,2,3, Leslie J Pelton4
1Divisions of General Internal Medicine and Hospital Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
概括
年龄友好医疗系统运动需要加深临床实践和研究的严谨性. 实现这一目标需要综合工具,政策调整和对老年人学习健康系统的投资.
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
- 公共卫生政策 公共卫生政策
背景情况:
- 年龄友好卫生系统 (AFHS) 倡议已经得到广泛采用,有成千上万的认可卫生系统.
- 这本特别期刊在AFHS运动的关键时刻召开,讨论其当前的影响力和未来的方向.
研究的目的:
- 通过介绍有关实施,测量,评估和政策调整的研究,推进年龄友好型卫生系统运动.
- 确定将AFHS运动从广泛采用到临床影响深度和研究严格度的转变策略.
主要方法:
- 本专题刊载的文章描述了AFHS在各种护理环境中的实施情况.
- 研究解决了持续测量年龄友好护理的4M (重要的是什么,药物,心理辅导,流动性) 的挑战.
- 研究评估了老年友好护理流程的实施和有效性,并探索了政策调整.
主要成果:
- AFHS运动已经取得了显著的影响力,但需要转向更深入的临床整合和加强研究严谨性.
- 需要新的工具来将老年友好的护理嵌入到临床工作流程和护理标准中.
- 支付和政策杆的调整至关重要,需要投资于高级认可水平和年龄友好型学习健康系统.
结论:
- 维持和最大限度地提高年龄友好健康系统运动的影响,需要在临床实践和研究中进行深入的战略转变.
- 将年龄友好型护理纳入标准工作流程,并调整财务激励是确保所有老年人获得全面护理的关键.
- 投资于年龄友好型学习健康系统对于促进临床卓越和强有力的研究来证明和促进长期可持续性至关重要.
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