{"title":"老年人获得健康、社会和长期护理的障碍：综述的系统综述。","authors":"Estela Cabañero-Garcia, Roberto Martinez-Lacoba, Isabel Pardo-Garcia, Elisa Amo-Saus","doi":"10.1186/s12939-025-02429-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to analyse the different barriers to accessing healthcare, social services and long-term care among older adults.</p><p><strong>Methods: </strong>A systematic review and narrative synthesis were conducted to analyse barriers to accessing healthcare, social care and long-term care services among older adults. We followed the PRISMA guidelines. A systematic search was conducted in the PubMed, Scopus, and Web of Science databases.</p><p><strong>Results: </strong>Seventenn studies were included in the systematic review. Seven articles were systematic reviews, six were scoping reviews, two were literature reviews, one was a rapid review and the last one was an integrative review. The results show that the different types of barriers that hinder access to services for older adults are, on the demand side, socioeconomic factors; and on the supply side, geographical factors. Community factors and the digital divide are on both the supply and demand side. Interaction between barriers should be considered.</p><p><strong>Conclusion: </strong>Adequate access to social and health services is crucial for the health and well-being of older adults and to guarantee equity in health. In summary, access to health services for older adults is determined by a heterogeneous interaction of these factors, on both the demand and supply side. Overcoming these barriers requires a comprehensive approach involving the collaboration of governments, healthcare providers, communities and older adults themselves.</p>","PeriodicalId":13745,"journal":{"name":"International Journal for Equity in Health","volume":"24 1","pages":"72"},"PeriodicalIF":4.5000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905592/pdf/","citationCount":"0","resultStr":"{\"title\":\"Barriers to health, social and long-term care access among older adults: a systematic review of reviews.\",\"authors\":\"Estela Cabañero-Garcia, Roberto Martinez-Lacoba, Isabel Pardo-Garcia, Elisa Amo-Saus\",\"doi\":\"10.1186/s12939-025-02429-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The aim of this study was to analyse the different barriers to accessing healthcare, social services and long-term care among older adults.</p><p><strong>Methods: </strong>A systematic review and narrative synthesis were conducted to analyse barriers to accessing healthcare, social care and long-term care services among older adults. We followed the PRISMA guidelines. A systematic search was conducted in the PubMed, Scopus, and Web of Science databases.</p><p><strong>Results: </strong>Seventenn studies were included in the systematic review. Seven articles were systematic reviews, six were scoping reviews, two were literature reviews, one was a rapid review and the last one was an integrative review. The results show that the different types of barriers that hinder access to services for older adults are, on the demand side, socioeconomic factors; and on the supply side, geographical factors. Community factors and the digital divide are on both the supply and demand side. Interaction between barriers should be considered.</p><p><strong>Conclusion: </strong>Adequate access to social and health services is crucial for the health and well-being of older adults and to guarantee equity in health. In summary, access to health services for older adults is determined by a heterogeneous interaction of these factors, on both the demand and supply side. Overcoming these barriers requires a comprehensive approach involving the collaboration of governments, healthcare providers, communities and older adults themselves.</p>\",\"PeriodicalId\":13745,\"journal\":{\"name\":\"International Journal for Equity in Health\",\"volume\":\"24 1\",\"pages\":\"72\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-03-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905592/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal for Equity in Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12939-025-02429-y\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal for Equity in Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12939-025-02429-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
目的：本研究的目的是分析老年人获得医疗保健、社会服务和长期护理的不同障碍。方法：采用系统回顾和叙事综合的方法分析老年人获得医疗保健、社会护理和长期护理服务的障碍。我们遵循PRISMA的指导方针。在PubMed， Scopus和Web of Science数据库中进行了系统搜索。结果：17项研究被纳入系统评价。七篇是系统综述，六篇是范围综述，两篇是文献综述，一篇是快速综述，最后一篇是综合综述。结果表明，在需求方面，阻碍老年人获得服务的不同类型障碍是社会经济因素；在供应方面，地理因素。社区因素和数字鸿沟同时存在于供需两方面。应考虑障碍之间的相互作用。结论：充分获得社会和保健服务对老年人的健康和福祉以及保障健康公平至关重要。总之，老年人获得保健服务的机会取决于这些因素在需求和供应两方面的异质性相互作用。克服这些障碍需要采取综合办法，涉及政府、医疗保健提供者、社区和老年人本身的合作。
Barriers to health, social and long-term care access among older adults: a systematic review of reviews.
Purpose: The aim of this study was to analyse the different barriers to accessing healthcare, social services and long-term care among older adults.
Methods: A systematic review and narrative synthesis were conducted to analyse barriers to accessing healthcare, social care and long-term care services among older adults. We followed the PRISMA guidelines. A systematic search was conducted in the PubMed, Scopus, and Web of Science databases.
Results: Seventenn studies were included in the systematic review. Seven articles were systematic reviews, six were scoping reviews, two were literature reviews, one was a rapid review and the last one was an integrative review. The results show that the different types of barriers that hinder access to services for older adults are, on the demand side, socioeconomic factors; and on the supply side, geographical factors. Community factors and the digital divide are on both the supply and demand side. Interaction between barriers should be considered.
Conclusion: Adequate access to social and health services is crucial for the health and well-being of older adults and to guarantee equity in health. In summary, access to health services for older adults is determined by a heterogeneous interaction of these factors, on both the demand and supply side. Overcoming these barriers requires a comprehensive approach involving the collaboration of governments, healthcare providers, communities and older adults themselves.
期刊介绍：
International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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