开发一个证据基础,以告知退休家庭政策的发展,使用公平和多样性的镜头:一个混合方法的研究协议
K Kehoe MacLeod1,2, V Wicks3, S R Isenberg3,4,5
1Centre for Care Access and Equity Research, Bruyère Health Research Institute, 85 Primrose Ave, Ottawa, ON, K1R7G5, Canada. kmacleod@bruyere.org.
BMC geriatrics
|November 4, 2025
概括
这项研究解决了老年人养老院的健康不平等问题,特别是那些面临财务或文化障碍的人. 调查结果将为政策制定提供信息,以改善安大略省公平获得养老院护理的机会.
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
- 健康 公平 卫生 公平
背景情况:
- 养老院对于老年人来说至关重要,但由于成本和缺乏文化一致的选择,许多人无法进入.
- 现有的关于老年护理中的健康不平等的研究主要集中在长期护理上,忽视了养老院.
- 这项研究旨在解决有关养老院居民经验和健康结果的知识差距.
研究的目的:
- 在加拿大安大略省养老院部门建立关于健康不平等的证据基础.
- 提供政策建议,以改善老人住所和护理的公平性.
- 为未来的倡议提供信息,以促进老年人的公平照顾,以设施为基础的环境.
主要方法:
- 一个多阶段的顺序混合方法研究,结合了定量和定性数据.
- 第一阶段:与咨询委员会和倡导团体就社会/系统障碍进行商.
- 阶段2和3:回顾性队列研究,使用卫生行政数据和与老年人和家庭关于护理过渡的半结构面试.
- 第四阶段:将调查结果与监管机构和政府部门的决策者联系起来.
主要成果:
- 分析卫生行政数据,以比较养老院 (RH) 与长期护理 (LTC) 的利用率和医疗保健结果.
- 对社会身份 (语言,收入) 和实际因素如何影响RH和LTC之间的决策的定性见解.
- 识别特定的社会和系统障碍,这些障碍有助于在养老院接入和护理方面的不平等.
结论:
- 利用长期护理改革带来的动力,调查养老院部门的不平等现象.
- 向省级决策者和社区合作伙伴传播政策选择.
- 在各个治理层面,为未来关于养老院公平性的工作提供信息.
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