家庭成员在长期护理服务分配过程中的有争议的参与:一项定性研究
Ann Katrin Blø Pedersen1, Marianne Sundlisæter Skinner2, Hege Skundberg-Kletthagen2
1Centre for Care Research, Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, P.O. Box 191, Teknologivegen 22, Gjøvik, 2802, Norway. ann.k.b.pedersen@ntnu.no.
BMC geriatrics
|March 3, 2026
概括
政府主张让家庭护理人员参与长期护理,但系统效率往往与家庭福利相冲突. 需要以家庭为导向的方法来改善老年人的护理分配.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生政策 公共卫生政策
- 社会工作 社会工作 社会工作
背景情况:
- 人口老龄化需要创新的长期护理 (LTC) 解决方案.
- 欧洲政府促进正式和非正式照顾者之间的合作.
- 本研究考察了挪威服务分配机构在LTC.家庭参与方面的经验.
研究的目的:
- 探讨服务分配者关于将家庭成员纳入老年人LTC服务的评估和分配方面的观点.
- 了解家庭参与LTC决策的挑战和促进者.
主要方法:
- 使用内容分析进行定性研究.
- 通过半结构化个人访谈 (n=9),焦点小组访谈 (n=2) 和直接观察 (165小时) 收集的数据.
- 参与者是负责评估需求和分配LTC服务的服务分配者.
主要成果:
- 总体主题:平衡家庭参与 法律权利,效率和福利.
- 确定的主题:涉及家庭成员的冲突,对需求评估的有效参与,以及对家庭照顾者的支持.
- 优先考虑系统效率而不是家庭价值观会影响家庭参与的有效性.
结论:
- 新的公共管理原则通过优先考虑系统效率,阻碍了家庭在LTC分配中的有效参与.
- 转向以家庭为导向的模式转变对于改善LTC系统动态至关重要.
- 加强家庭参与需要使系统流程与家庭成员的价值观和福利保持一致.
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