[高龄关怀:以台湾屏东县为长者提供综合照护为例]。

Q3 Nursing
Hsiu-Chun Chang, Chia-Hui Chiu, Yi-Hua Lee, Pei-Fang Chia
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引用次数: 0

摘要

人口老龄化已成为21世纪普遍的社会趋势,给医疗保健系统带来了复杂的挑战。预计到2025年,台湾将成为一个“超级老龄化社会”。2020年,健康促进管理局参照世界卫生组织(世卫组织)老年人综合护理指南(ICOPE),开始促进以人为中心的老年人功能评估,以预防和延缓残疾,减少对正规医疗保健的依赖,并促进健康老龄化、就地老龄化和积极老龄化。屏东县面临着城乡医疗差距。为了解决这一问题,该县的执行团队将社区和医疗保健系统整合为一个单一的老年人友好健康网络,以帮助老年人在早期自我发现内在功能衰退问题并接受早期治疗。该网络的实施分以下四个阶段进行:筹备、行动、实施和修订以及推广。截至2024年8月,全县ICOPE接收人数达到11873人,覆盖率为7.42%。除了社区卫生保健专业人员的培训机会不足之外,农村社区目前还面临着缺乏icope后筛查异常病例的转诊机制的问题,这是一个重大挑战,需要行业、政府、学术界和研究部门之间的合作。鉴于老年人口的不断扩大,社区护理可能是一项艰巨的任务,需要提供持续的护理专业培训和社会心理支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Age-Friendly Health Care: An Example of Providing Integrated Care for Older People (ICOPE) in Pingtung County, Taiwan].

Population aging has become a prevalent societal trend in the 21st century, giving rise to intricate challenges for healthcare systems. Taiwan is expected to become a "super-aging society" in 2025. In 2020, the Health Promotion Administration, referencing World Health Organization (WHO) guidelines on integrated care for older people (ICOPE), began promoting person-centered functional assessments for older adults to prevent and delay disability, reduce reliance on formal healthcare, and promote healthy aging, aging in place, and active aging. Pingtung County faces a healthcare gap between urban and rural areas. To address this, the county's executive team integrated community and healthcare systems into a single Age-Friendly Health Network to help older adults self-detect intrinsic functional decline problems at an early stage and receive early treatment. The implementation of this network is being done in the following four phases: preparation, action, implementation and revision, and promotion. As of August 2024, ICOPE intake in the county reached 11,873, representing a coverage rate of 7.42%. In addition to inadequate training opportunities for community healthcare professionals, rural communities are currently confronted with a dearth of referral mechanisms for post-ICOPE screening aftercare services for anomalous cases, representing a significant challenge that demands collaboration between industry, government, academia, and research. In light of the expanding older adult population, community nursing can be a formidable undertaking, necessitating the provision of ongoing nursing professional training and psychosocial support.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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