Teddy Andrews Jaihind Jothikaran, Abhijith A Kumar, Ivan Neil Gomez, Kejal Hasmukharay, Lakshmi Balraj, Maw Pin Tan, Akhmad Azmiardi, Farahdilla Mirshanti, Divya Susanna Patil
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引用次数: 0
Abstract
Background: With the rapid agiing of populations globally, the demand for long-term care (LTC) services for older people is growing exponentially. However, policy responses across the region have varied significantly. Purpose: This scoping review aims to map and describe available policies that address LTC within the Asia-Pacific Aged Care Hub (APACH) countries, specifically examining governance, implementation, and strategic challenges in this area.
Methodology/approach: This scoping review followed the framework as outlined by Arksey and O'Malley (2005). A comprehensive literature search was conducted on five electronic databases, including PubMed, Scopus, CINAHL, and Web of Science. Grey literature was identified through Google Scholar, government and public health websites. A two-stage screening process was undertaken by two reviewers independently, which was followed by data extraction and synthesis.
Findings: We identified 310 articles, of which 85 were included for full review. The studies revealed that there are health policies in place in all the APACH countries. The two prevalent LTC models are residential care and community-based care. The policy documents have a common focus on LTC for older adults with emphasis on infrastructure, governance and funding, and capacity building. Effective operationalization of the existing policies has been challenged by current structural and capacity issues. Although the aged care policies have included monitoring and evaluation frameworks, comprehensive assessments of policy impact remain limited.
Conclusions: Though there are policies for LTC, the review highlights significant gaps in the implementation of these policies across the APACH countries. There is a pressing need for robust regulatory frameworks and interagency collaboration to provide sustainable LTC approaches.
Practical implications: Although APACH countries have adopted several approaches to LTC, it is critical to strengthen policies and initiatives regarding regulatory frameworks, health and social care integration, quality standards, and cultural adaptability to improve LTC administration and management.
背景：随着全球人口迅速老龄化，对老年人长期护理服务的需求呈指数级增长。然而，该地区各国的政策反应差异很大。目的：本范围审查旨在绘制和描述亚太老年护理中心（APACH）国家解决LTC的可用政策，特别是检查该领域的治理、实施和战略挑战。方法论/方法：该范围审查遵循Arksey和O'Malley（2005）概述的框架。对PubMed、Scopus、CINAHL、Web of Science等5个电子数据库进行全面的文献检索。灰色文献是通过谷歌Scholar、政府和公共卫生网站确定的。由两名审稿人独立进行两阶段筛选过程，然后进行数据提取和综合。结果：我们确定了310篇文章，其中85篇被纳入完整综述。这些研究表明，所有阿帕切国家都制定了卫生政策。两种流行的长期护理模式是住宿护理和社区护理。这些政策文件共同关注老年人长期服务，强调基础设施、治理和资金以及能力建设。现行政策的有效实施受到当前结构和能力问题的挑战。尽管老年护理政策包括监测和评估框架，但对政策影响的全面评估仍然有限。结论：虽然有LTC政策，但审查强调了APACH国家在实施这些政策方面的重大差距。迫切需要强有力的监管框架和机构间合作，以提供可持续的长期合作方法。实际影响：虽然APACH国家对长期医疗服务采取了几种方法，但加强监管框架、卫生和社会保健一体化、质量标准和文化适应性方面的政策和举措，以改善长期医疗服务的行政和管理至关重要。
期刊介绍：
Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
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