Health & Social Care in the Community最新文献

{"title":"Improving Access to Online Community Services for People With Disabilities Following the COVID-19 Pandemic Through Co-Creation Workshops","authors":"Nolwenn Lapierre,&nbsp;Ben W. Mortenson,&nbsp;Dylane Labrie,&nbsp;Caroline Huet-Fiola,&nbsp;Ernesto Morales,&nbsp;François Routhier","doi":"10.1155/hsc/7325259","DOIUrl":"https://doi.org/10.1155/hsc/7325259","url":null,"abstract":"<div>\u0000 <p>Community organizations supporting people with disabilities (PWD) initiated or increased their online services to maintain their support during the COVID-19 pandemic. The objective of this study is to report on the collaborative development of solutions to improve access to online community services for PWD. This study followed a multiple-case design to report on the co-creation process engaged by four community organizations. A four-step methodology for co-creation was applied and documented by field notes. Cases were analyzed separately, and then, cross-case analyses were performed. Eighteen members and employees of community organizations participated in co-creation workshops (3 per organization). Co-created solutions to accessibility of online services were developed in each case, and three out of the four organizations chose to implement them. The co-created solutions are expected to improve access to online services and satisfaction among PWD. A similar approach of co-creation could benefit the development of other online community services for PWD.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7325259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Effects of Social Participation for Middle-Aged and Older Adults: Evidence From the China Health and Retirement Longitudinal Study","authors":"Xiaoqun Chen,&nbsp;Weinan Liu,&nbsp;Zhuoning Zhang,&nbsp;Jiangjun Yuan","doi":"10.1155/hsc/3737025","DOIUrl":"https://doi.org/10.1155/hsc/3737025","url":null,"abstract":"<div>\u0000 <p>This study utilized data from the 2011–2018 China Health and Retirement Longitudinal Study (CHARLS) to explore the effects of various types and frequencies of social activities on the health outcomes of middle-aged and elderly adults. A total of 5800 participants aged 45–80 years at baseline were included in the analysis. The results indicated that participating in activities such as playing mahjong, chess, and cards was notably linked to enhanced physical health for both genders. However, this correlation was only statistically significant for psychological and cognitive health among men. Conversely, regular involvement in dancing, practicing qigong, and performing other exercises in the park was significantly associated with improved physical and psychological health exclusively among women. No significant disparities were observed in the effects of socializing with friends on the health of both genders. These findings underscore the significance of acknowledging gender differences and the specific characteristics of social activities when devising interventions aimed at fostering healthy aging.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3737025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking Up: The Impact of Transformational Leadership Approaches on a Social Prescribing LINK Children and Young People Service – A Qualitative Exploration","authors":"Michelle Howarth,&nbsp;Julie Feather,&nbsp;Eve Allen,&nbsp;Axel Kaehne,&nbsp;Paul Carreon","doi":"10.1155/hsc/3939345","DOIUrl":"https://doi.org/10.1155/hsc/3939345","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Poor mental health among children and young people (CYP) is a global issue, with one in seven affected. In the United Kingdom (UK) and abroad, social prescribing is emerging as a community-based, non-clinical method to address health inequalities. Link workers (LWs) play a pivotal role in this approach, and more research about the factors influencing their recruitment, retention, and job satisfaction is required.</p>\u0000 <p><b>Aim:</b> This study explores the experiences of LWs working with CYP, focusing on service delivery, job satisfaction, career development, and retention, addressing a critical gap in research on LW roles and their influence on CYP care.</p>\u0000 <p><b>Method:</b> This qualitative study employed semistructured, one-to-one interviews with 17 LWs and managers. These interviews were conducted between April 2023 and February 2024. Data were analysed using Braun and Clarke’s thematic analysis framework, identifying key themes related to LW experiences and job satisfaction.</p>\u0000 <p><b>Findings:</b> The findings highlight how a transformational leadership approach contributed to LW job satisfaction and retention, characterised by supportive leadership that promoted flexibility and autonomy, and continuous professional development (CPD) that enabled career progression.</p>\u0000 <p><b>Conclusion:</b> Findings from this study established a unique conceptual model of LW job satisfaction and retention, which illustrates how transformational leadership fosters a creative, collaborative environment that supports flexibility, continuous development, and meaningful impact for LWs. This approach creates the conditions for sustainable services by promoting job satisfaction and retention, ensuring that LWs can consistently provide person-centred care to CYP and their families.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3939345","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“None of It Turned Out the Way She Wanted, So It Left a Hole in Me”: Informal Caregiving at the End of Life in Contexts of Inequity","authors":"Ashley Mollison,&nbsp;Marilou Gagnon,&nbsp;Ryan McNeil,&nbsp;Alexandra Stewart,&nbsp;Melissa Giesbrecht,&nbsp;Amber Bourgeois,&nbsp;Kelli I. Stajduhar","doi":"10.1155/hsc/8788241","DOIUrl":"https://doi.org/10.1155/hsc/8788241","url":null,"abstract":"<div>\u0000 <p>Palliative care is undergoing shifts to identify and respond to social and structural inequities. Caregiving in a palliative context is steeped in assumptions that those who provide care are biologically or legally (biolegal) related, well-resourced, and able to balance the many demands of work and life with caregiving. As families in the Western world change, people are increasingly looking outside their biolegal families for care. This is common among people experiencing homelessness, but little is known about how this translates at the end of life. To address this knowledge gap, we undertook an ethnographic study informed by critical perspectives, integrating social justice and health equity approaches. Over a period of 27 months, approximately 300 h of observation and 44 interviews were conducted with service providers, clients, and caregivers in three Canadian cities. We found that caregiving in contexts of inequity challenges dominant understandings of palliative caregiving. Rather than a biolegal family, people with life-limiting conditions were found to be accessing care from a constellation of formal and informal caregivers (e.g., friends, neighbors, and spouses). For this analysis, we focus on exploring the experiences of unrelated, informal caregivers, with thematic findings illustrating three main aspects: (1) Relationships and roles in informal caregiving, (2) identifying and perceiving informal caregivers, and (3) biolegal privileging and exclusion of unrelated caregivers. For palliative care to improve the quality of life of people who face inequities and their caregivers, there is a need to better identify, engage, and support all of those who participate in care at the end of life regardless of whether they are biologically or legally related.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8788241","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Professionals’ Experiences of Interprofessional Collaboration When Supporting Autistic Children and Their Families in Australia","authors":"Lara Campbell,&nbsp;Greta Ryan,&nbsp;Valerie Watchorn,&nbsp;Sherryn Evans","doi":"10.1155/hsc/1361927","DOIUrl":"https://doi.org/10.1155/hsc/1361927","url":null,"abstract":"<div>\u0000 <p>Interprofessional collaboration among health professionals is widely recognised as best practice in the assessment and support of autistic children and their families. Nevertheless, limited empirical research has considered the extent to which health professionals actually collaborate in practice. This study aimed to explore how health professionals from diverse disciplines experience interprofessional collaboration when supporting autistic children and their families in Australia. An exploratory qualitative study was undertaken using semistructured interviews with 15 health professionals from various disciplines including occupational therapy, paediatric medicine, physiotherapy, psychology, social work and speech therapy, who work with autistic children in Australia. Interview data were analysed using inductive reflexive thematic analysis. Five distinct yet interrelated themes were developed from the data that summarised the health professionals’ experiences of interprofessional collaboration in supporting autistic children and their families. These were as follows: interprofessional collaboration is recognised as best practice, differences in attitudes and understandings create conflict, professional networks are a foundation for interprofessional collaboration, concerns about leadership roles and responsibilities and interprofessional collaboration is influenced by broader social systems. Findings have practical implications for individual health professionals and the policy makers and organisations who oversee the delivery of support services to autistic children and their families. Systems should be reorganised and interprofessional education programs expanded to better enable health professionals and those from other sectors to collaborate effectively when supporting autistic children and their families. These findings also highlight a need for further research of the conflict caused by different approaches to autism support.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1361927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enacted Stigma and Adverse Mental Health in Chinese Gay and Bisexual Men","authors":"Wenjian Xu,&nbsp;Roufei Leng,&nbsp;Wenxin Zhao,&nbsp;Jing Zhang","doi":"10.1155/hsc/5658650","DOIUrl":"https://doi.org/10.1155/hsc/5658650","url":null,"abstract":"<div>\u0000 <p>Gay and bisexual men face disproportionately higher rates of adverse mental health conditions compared to their heterosexual counterparts. Grounded in the minority stress theory and set within the China’s stigmatized cultural context, this study probes deeply into the mediating roles of proximal minority stressors (including rejection sensitivity and internalized homophobia) and individual coping process (i.e., self-efficacy) in the relationship between enacted stigma and adverse mental health among Chinese gay and bisexual men. Furthermore, it examines the moderating roles of outness to the family on the interrelationships among enacted stigma, proximal minority stressors, and adverse mental health. A total of 728 participants, comprising 334 gay men and 394 bisexual men, completed measures of sociodemographics, enacted stigma, rejection sensitivity, internalized homophobia, self-efficacy, outness to the family, and adverse mental health. Results indicated that enacted stigma was positively associated with adverse mental health, with both rejection sensitivity and internalized homophobia acting as partial mediators. Furthermore, the sequential mediation role via proximal minority stressors and self-efficacy was statistically significant. Notably, the degree of outness to the family moderated not only the relationship between enacted stigma and internalized homophobia but also its indirect link on adverse mental health. These findings provide compelling cross-cultural evidence in support of the minority stress theory and spotlight pivotal intervention pathways aimed at addressing adverse mental health prevalent among Chinese gay and bisexual men.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5658650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Not Having the Energy to Even Live”: A Feminist Disability Perspective on Long COVID and Caregiving","authors":"Julia Smith,&nbsp;Alice Mũrage,&nbsp;Kayli Jamieson,&nbsp;Kaylee A. Byers","doi":"10.1155/hsc/8893161","DOIUrl":"https://doi.org/10.1155/hsc/8893161","url":null,"abstract":"<div>\u0000 <p>Long COVID is defined as the persistence of symptoms three or more months after infection with severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2/COVID-19). A growing body of research documents the economic and social implications of this relatively new health condition, but, to date, only a handful of studies have considered the effects of Long COVID on caregiving (defined here as the unpaid care work provided in the home or community by family and friends). Through interviews with people with Long COVID (30) and caregivers (9) in British Columbia, Canada, our research aims to document how Long COVID is affecting caregiving in the home to inform supportive health and care policy responses. We apply a feminist critical disability studies perspective, which conceptualizes care as relational and disability as more than a medical diagnosis of impairments, but as the result of complex interactions between physical and mental differences and social understandings of them. Interviews were analyzed using reflexive thematic analysis to illustrate how the novel nature of Long COVID created unique effects on household caregiving. PwLC particularly note how the symptoms of brain fog and exhaustion negatively affected their ability to complete household care tasks, self-care, and childcare, which in turn resulted in feelings of guilt. Lack of information about Long COVID created a heavy burden on PwLC and caregivers left to conduct research themselves, while medical gaslighting and lack of awareness about Long COVID generated demand for emotional labor and exacerbated burnout. Health and social policy innovation is urgently needed to respond to the needs of PwLC and their caregivers.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8893161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth as a Care Solution for Homebound People: Systematic Review and Meta-Analysis of Healthcare Utilization, Quality of Life, and Well-Being Outcomes","authors":"Maria Alejandra Pinero de Plaza,&nbsp;Aarti Gulyani,&nbsp;Lemma N. Bulto,&nbsp;Regina Allande-Cussó,&nbsp;Vincent Pearson,&nbsp;Belinda Lange,&nbsp;Tania Marin,&nbsp;Lemlem Gebremichael,&nbsp;Shannon Brown,&nbsp;Hila Dafny,&nbsp;Shelda Sajeev,&nbsp;Norma Bulamu,&nbsp;Alline Beleigoli,&nbsp;Katie Nesbitt,&nbsp;Penelope McMillan,&nbsp;Robyn Clark,&nbsp;Matthew Tieu,&nbsp;Alison Kitson,&nbsp;Stephanie Champion,&nbsp;Sonia Hines,&nbsp;Jeroen M. Hendriks","doi":"10.1155/hsc/7224151","DOIUrl":"https://doi.org/10.1155/hsc/7224151","url":null,"abstract":"<div>\u0000 <p>Homebound individuals residing in community settings with severe health conditions and disabilities could arguably benefit from telehealth interventions. However, the effectiveness of telehealth compared to in-person care remains underexplored, considering the diversity of these groups. This systematic review and meta-analysis aimed to evaluate the effectiveness of telehealth in reducing healthcare utilization and improving health-related quality of life (HRQOL) and well-being in homebound populations. Adhering and expanding on a published protocol, we conducted comprehensive search across multiple databases: MEDLINE, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, LILACS, and the Web of Science, with no restrictions on language or publication date, and experimental and quasiexperimental studies considered. Eleven independent reviewers were responsible for study selection, and three for data extraction. The methodological quality of the included studies was assessed using JBI checklists. A meta-analysis was then performed using Stata software, which reported standardized mean differences (SMDs) as the effect measure, with the quality of evidence evaluated using the GRADE approach. From an initial screening of 3289 articles, ten studies met our inclusion criteria, with eight suitable for meta-analysis. These studies encompassed data from 2245 participants. Our findings revealed that telehealth interventions significantly reduced healthcare utilization (SMD: −0.49; 95% CI: −0.76 to −0.22; <i>p</i> &lt; 0.01, GRADE: low certainty), significantly enhanced HRQOL (SMD: 0.18; 95% CI: 0.01 to 0.35; <i>p</i> = 0.04, GRADE: moderate certainty), and significantly improved well-being (SMD: −0.31; 95% CI: −0.47 to −0.15; <i>p</i> &lt; 0.01, GRADE: moderate certainty) compared to in-person care. Thus, telehealth emerges as a viable alternative to conventional care, significantly reducing healthcare utilization and enhancing both HRQOL and well-being for homebound people. These findings underscore the potential of telehealth to mitigate healthcare disparities and emphasize the need for accessible, equitable telehealth services codeveloped with end users and relevant stakeholders to save resources and maximize health outcomes for vulnerable populations in community settings.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7224151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Place of Research in the Professional Identity of Practitioners and Managers in Adult Social Care","authors":"Lisa Dibsdall,&nbsp;Karen Gray,&nbsp;Linda Sumpter,&nbsp;Ailsa Cameron,&nbsp;Paul Willis,&nbsp;Jon Symonds,&nbsp;Mat Jones,&nbsp;Christie Cabral,&nbsp;Geraldine MacDonald","doi":"10.1155/hsc/2094494","DOIUrl":"https://doi.org/10.1155/hsc/2094494","url":null,"abstract":"<div>\u0000 <p>The nature of professional identity in the roles of practitioners in social care is not clearly defined. This article uses baseline data from a study seeking to increase the use of research in decision-making within adult social care to discuss the role of research in the professional identity of social care practitioners. Semistructured interviews were completed with 25 members of staff working in adult social care in the UK, employing purposive sampling to ensure representation across various professional roles and seniority levels. The interviews explored participants’ perspectives on research, its role in their practice, and factors influencing engagement with research. Following thematic analysis of the interview transcripts, results revealed diverse views among social care professionals regarding the use of research in their daily work. Occupational therapists characterised their practice as ‘evidence-based’ and discussed differences between the use of research in social care compared to in health settings. Social workers voiced a range of opinions, with some considering research integral to social work practice, while others viewing it as a separate, academic task. Experience was valued over research by some participants, suggesting a shift in views among professionals over the course of their careers. Research was not considered a core component of the role of nonprofessionally qualified staff. Senior leaders were expected to engage more with research, yet practical demands often limited their involvement. The role of principal social workers and principal occupational therapists emerged as critical in championing research across the workforce, but concerns were raised about fostering a culture of dependency on these leaders for research dissemination. The article concludes by highlighting the need for a comprehensive development program promoting research engagement at all levels within social care organizations to bridge the gap between research and evidence-based decision-making.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2094494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General Practice Care in Residential Aged Care Homes: A Systematic Scoping Review","authors":"Kate H. Marshall,&nbsp;Mary A. Burns,&nbsp;Diane L. Riddiford-Harland,&nbsp;Christopher J. Poulos,&nbsp;Roslyn G. Poulos,&nbsp;Andrew Montague,&nbsp;Ebony T. Lewis,&nbsp;Russell Pearson,&nbsp;Joel J. Rhee","doi":"10.1155/hsc/5572426","DOIUrl":"https://doi.org/10.1155/hsc/5572426","url":null,"abstract":"<div>\u0000 <p>The growing population of older adults residing in Australian residential aged care homes (RACHs) is driving an increased demand for general practitioner (GP) involvement to meet their complex healthcare needs. This scoping review sought to synthesise the evidence on general practice care models implemented within RACHs over the past decade (2013–2023), assessing their structure, effectiveness and implications for Australia’s future healthcare strategies. Employing the Joanna Briggs Institute Scoping Review Methodology, the review systematically searched for English-language studies from five major databases (MEDLINE, EMBASE, CINHAL, Scopus, and PsycINFO) and grey literature, focussing on preventive, management and acute care services for RACH residents aged ≥ 65 and Aboriginal and Torres Strait Islander peoples aged ≥ 50 within comparable healthcare contexts. Following screening, 10 studies were identified, with half conducted in Australia. Models primarily included government or provider-employed GPs and team-based approaches led by registered nurses or nurse practitioners. Despite structural variations, common elements across models were regular GP consultations, co-located services and multidisciplinary partnerships. Three studies reported differing impacts of general practice models on resident health outcomes; provider-based GPs generally reduced unplanned hospital and emergency visits, whereas nurse practitioner–led teams resulted in a slight increase. Both GP-led and team-based models reported broad adoption and acceptance, though cost-effectiveness varied. Despite identifying several promising models, the existing evidence is insufficient for a comprehensive evaluation of their long-term effects on patient health and the broader healthcare system. This underscores the urgent need for further research to develop effective, culturally sensitive and economically sustainable aged care practices, ensuring high-quality care for Australia’s rapidly ageing population.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5572426","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}