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医疗保健机构中老年人的结构性边缘化:一个概念分析
Anna Garnett1, Ruheena Sangrar2, Christina Oleynikov3
1Arthur Labatt Family School of Nursing, Faculty of Health Sciences, FIMS & Nursing Building, Western University, Rm 2306, London, ON, N6A 5B9, Canada. agarnet6@uwo.ca.
BMC geriatrics
|December 24, 2025
概括
医疗保健系统通过有偏见的行动,不充分的结构和政策,无意地将老年人边缘化. 解决这个问题需要认识到这个问题,并实施全系统的协作解决方案,以改善老年人护理.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 全球人口变化需要医疗保健系统为老龄化人口做好准备.
- 了解医疗保健系统如何无意地将老年人边缘化对于长期福祉至关重要.
- 现有的医疗保健结构可能无法充分满足老龄化人口的健康需求.
研究的目的:
- 制定医疗保健机构中老年人结构性边缘化的操作定义.
- 分析有关老年人如何在医疗保健中经历边缘化的文献.
- 确定导致医疗保健结构性边缘化的关键属性.
主要方法:
- 采用了概念分析方法,涉及文献综述.
- 搜索了2000年至2024年间出版的同行评审期刊和灰色文学.
- 包括专注于在医疗保健中经历结构性边缘化的老年人 (≥60岁) 的研究.
主要成果:
- 结构性边缘化是由偏见的卫生系统行为影响到获得护理的定义.
- 组织结构和政策不足会对老年人的健康产生负面影响.
- 健康的社会决定因素显著影响老年人获得医疗保健的机会和体验.
结论:
- 导致结构性边缘化的因素是复杂的和多方面的.
- 解决方案需要协作方法,包括认可,教育和资源.
- 为了解决边缘化问题,在所有医疗保健层面采取全系统的行动至关重要.
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