日本农村的社会孤立老年人的社会处方:一个定性案例研究
Naho Ota1, Mayu Ebihara2, Mizuki Aoki2
1School of Medicine, Akita University, Akita, Japan.
Frontiers in public health
|November 3, 2025
概括
在日本,社会处方需要根据个人需求量身定制服务,并应对交通等农村挑战. 可持续的资金和建立信任是成功实施孤立老年人成功的关键.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会医学 社会医学
背景情况:
- 社会处方 (SP) 是一个新兴的医疗保健策略,尚未在日本建立.
- 老年人群中的社会隔离构成了重大的公共卫生挑战.
研究的目的:
- 探索在日本农村地区实施社会处方的挑战和促进者.
- 了解全科医生 (GPs),链接工作者 (LWs) 和SP患者的观点.
主要方法:
- 在日本秋田县进行的定性案例研究.
- 半结构面试与7名全科医生,10名LW和4名老年患者进行.
- 使用布劳恩和克拉克的框架进行主题分析.
主要成果:
- SP必须是个性化的,LW对于农村资源连接至关重要.
- 担忧包括LW能力,资源可访问性/成本以及农村可用性.
- 患者层面的障碍包括个人因素和交通;信任和沟通至关重要.
结论:
- 在农村环境中成功的SP需要个性化的方法,熟练的LW和运输解决方案.
- 政策建议包括可持续的LW资金,系统集成和流动性支持.
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