促进老年人获得和利用医疗服务的战略:全面范围审查

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Alireza Hajizadeh, Maryam Babaei Aghbolagh, Golnoosh Babaei, Maryam Tajvar, Mahdiyeh Heydari
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引用次数: 0

摘要

目的。改善获得和利用医疗保健服务的机会,是提高老龄人口整体健康水平的必要因素。因此,应考虑改善医疗服务获取的战略。本综述研究旨在识别、分类和综合为改善老龄人口获得和利用医疗服务而建议的干预措施。方法。本次范围界定综述以 Arksey 和 O'Malley 建立的框架为基础。为了找到相关研究,作者使用 2000 年至 2022 年间的适当关键词在 Medline (PubMed)、Scopus、Science Direct 和 ProQuest 等多个数据库中进行了检索。作者们独立筛选了搜索结果,提取了数据,并对纳入研究的数据进行了综合。根据世界卫生组织(WHO)2000 年制定的框架,进行了框架分析,确定了关键干预措施。结果。在最初检索到的 8286 项研究中,只有 79 项符合筛选标准,最终被纳入研究。结果表明,在采用了某些战略的 22 个国家中,美国实施了最多的干预措施(27 项研究),其中加强服务提供是最常见的行动领域(23 项),其次是改善医疗服务的融资、管理和创建追索权(分别为 12 项、11 项和 11 项)。结论本次范围界定审查汇编了一系列旨在促进老年人获得和利用医疗服务的干预措施。虽然这些干预措施大多是在高收入国家实施的,但其他国家也可以根据本国的具体情况调整其有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Strategies to Enhance Access and Utilization of Health Services by Older Population: A Comprehensive Scoping Review

Strategies to Enhance Access and Utilization of Health Services by Older Population: A Comprehensive Scoping Review

Objective. Improving access to and utilization of healthcare services are necessary factors for improving the overall health of the ageing population. Accordingly, strategies to improve the access to health services should be considered. The aim of this review study was to identify, categorize, and synthesize the interventions suggested to improve access and utilization of health services by the ageing population. Methods. This scoping review was conducted based on the framework established by Arksey and O’Malley. To find relevant studies, searches were conducted in various databases such as Medline (PubMed), Scopus, Science Direct, and ProQuest, using appropriate keywords ranging from 2000 to 2022. The authors independently screened search results, extracted the data, and synthesized the data from the included studies. A framework analysis identified key interventions based on the framework established by the World Health Organization (WHO) in 2000. Results. Of the 8286 initially retrieved studies, only 79 were eligible for the final inclusion as they met the selection criteria. Results showed out of the 22 countries who have utilized some strategies the United States have implemented the most interventions (27 studies) , with service delivery enhancement being the most commonly area of action(23 items), followed by improvement in financing, stewardship, and creating recourse (12, 11, and 11 items, respectively) functions of health services. Conclusion. This scoping review compiled a range of interventions aimed at enhancing older adults’ access to and utilization of health services. While most of these interventions have been implemented in high-income countries, other nations can adapt their effective approaches to their unique contexts.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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