Young Yuchi, Frick Kevin D, Phelan Elizabeth A
Department of Health Policy, Management and Behavior, State University of New York at Albany, Albany, NY 12144, USA.
J Am Med Dir Assoc. 2009 Feb;10(2):87-92. doi: 10.1016/j.jamda.2008.11.003.
For the past 4 decades, many studies seeking to develop a definition and identify critical determinants of successful aging have been published. To date, there is still no consensus on a standard definition or measure of "successful aging." Most constructs have been one dimensional; although a few have been multidimensional, none has emerged as standard. The most serious limitation of contemporary successful aging constructs is the undue focus on physiologic aspects of aging. To move beyond this limited perspective that stresses disease and impairment, we postulate that successful aging may coexist with diseases and functional limitations if compensatory psychological and/or social mechanisms are used. With this premise, this article presents a new definition and conceptual framework of successful aging, together with an operational definition (measurement) that delineates our successful aging concept. We discuss how the proposed multidimensional measurement may be used as a screening tool, and address its relevance for health services research and health care delivery.
在过去的40年里，许多旨在制定成功老龄化的定义并确定其关键决定因素的研究已经发表。迄今为止，对于“成功老龄化”的标准定义或衡量方法仍未达成共识。大多数概念都是一维的；虽然有一些是多维的，但没有一个成为标准。当代成功老龄化概念最严重的局限性在于过度关注老龄化的生理方面。为了超越这种强调疾病和损伤的有限视角，我们假设，如果使用补偿性心理和/或社会机制，成功老龄化可能与疾病和功能限制并存。基于这一前提，本文提出了成功老龄化的新定义和概念框架，以及一个描述我们成功老龄化概念的操作性定义（测量方法）。我们讨论了所提出的多维测量方法如何用作筛查工具，并阐述了其与卫生服务研究和医疗保健提供的相关性。
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