对卫生资源和服务管理局老年医学劳动力增强计划特别补充的评论。

IF 4.3 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Nina Tumosa PhD, Joan Weiss PhD, RN, CRNP, FAAN
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引用次数: 0

摘要

美国卫生资源与服务管理局(HRSA)致力于为医疗服务提供者提供护理老年人的知识和技能,并通过其老年医学劳动力增强计划(GWEP)合作协议项目支持对医疗服务劳动力的培训。GWEP 的目的是通过培养一支能最大限度提高患者和家属参与度的医疗保健队伍,并通过将老年医学与初级保健相结合,改善老年人的健康状况。信息图表(图 1)显示了 GWEP 的主要组成部分,包括以患者为中心的护理教育和培训以及评估。评估包括受训人员的满意度及其知识和技能的增长。评估还衡量新知识、新技能的采用情况以及患者对医疗服务的满意度。GWEP 始于 2015 年(44 个奖项)。第二批 48 名获奖者于 2019 年开始接受培训。第三批(42 名获奖者)于 2024 年 7 月开始。GWEP 获奖者使用多种工具来管理和评估他们的 IPET。这些工具包括:(1) 在互惠伙伴关系中开展工作;(2) 使用老年友好型医疗系统 (AFHS) 框架,在初级保健中推广老年友好型和痴呆症适应性护理;(3) 接受创新,实现实践转型;以及 (4) 使用流程和患者结果评估技术。本特别增刊将举例说明第二批 "全球老年医学教育项目"(GWEP)受助者是如何使用这些工具的。老年医学教育者必须注重开发可在全国和地方范围内使用的培训和教育,以改善老年人的健康和医疗保健。鉴于为老年人提供初级保健服务的场所多种多样,从自我护理到养老院护理,从居家护理服务到临终关怀,这项任务并非易事。本补编中介绍的工作实例表明,老龄化的未来包括希望不断延长寿命、减少残疾的理由,以及将病人、家庭和护理人员纳入这一旅程的理由。全球老年教育计划将继续致力于减少残疾和保持自主性,使人们能够活得更长、更充实。作者们对这项工作做出了同等的贡献,包括构思和设计、起草、修改手稿的重要思想内容以及最终审核。Nina Tumosa 和 Joan Weiss 在本文中表达的观点仅代表作者本人,并不一定反映美国卫生与公众服务部 (HHS) 或卫生资源与服务管理局 (HRSA) 的官方政策,提及 HHS 或 HRSA 也并不意味着美国政府的认可。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Commentary on the Health Resources and Services Administration Geriatrics Workforce Enhancement Program special supplement

Commentary on the Health Resources and Services Administration Geriatrics Workforce Enhancement Program special supplement

The Health Resources and Services Administration (HRSA) is committed to providing healthcare providers with the knowledge and skills to care for older adults and supports the training of the healthcare workforce through its Geriatrics Workforce Enhancement Program (GWEP) cooperative agreement program. The purpose of GWEP is to improve health outcomes for older adults by developing a healthcare workforce that maximizes patient and family engagement, and by integrating geriatrics and primary care. An infographic (Figure 1) shows the major components of GWEP, including education and training on patient-centered care and evaluation. Evaluation includes trainee satisfaction and increase in their knowledge and skills. Evaluation also measures the adoption of new knowledge, skills, and patient satisfaction with their healthcare. GWEP began in 2015 (44 awards). A second cohort of 48 awardees began in 2019. A third cohort (42 awards) begins in July of 2024.

GWEP recipients use multiple tools to manage and evaluate their IPET. These tools include (1) working within reciprocal partnerships; (2) using the age-friendly health system (AFHS) framework to promote age-friendly and dementia-capable care in primary care; (3) embracing innovations that lead to practice transformations; and (4) using process and patient outcome evaluation techniques. Examples of how these tools have been used by the second cohort of GWEP recipients are provided in this Special Supplement.

Geriatrics educators must focus on developing trainings and education that can be used nationally, as well as locally, to improve health and healthcare of older adults. Given the variability of sites that provide primary care to older adults, from self-care to nursing home care, and from in-home care services to hospice care, this is not an easy task. However, identifying and delivering this training and education content, and determining which educational modalities work best in any given site, are well worth that effort.

The examples of work described in this supplement show that the future of aging includes reasons to hope for ongoing increases in longevity with less disability, with the inclusion of the patient, family, and caregivers in this journey. GWEP will continue to work at reducing disability and maintaining autonomy to allow longer, fuller lives. This effort will have an impact on the long-term health of everyone as they age, if not now, then in the future.

The authors made equal contributions to this work, including concept and design, drafting, and revision of the manuscript for important intellectual content, and final review.

The authors report no conflicts of interest.

The activities described in this article were funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) grant number U1QHP28732.

The views expressed by Nina Tumosa and Joan Weiss in this article are solely the opinions of the authors and do not necessarily reflect the official policies of the U.S. Department of Health and Human Services (HHS) or the Health Resources and Services Administration (HRSA), nor does the mention of the HHS or HRSA imply endorsement by the U.S. Government.

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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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