Nishita Christy, Browne Colette
University of Hawaii School of Social Work, Honolulu, Hawai‘i 96822, USA.
J Health Care Poor Underserved. 2013 Feb;24(1):404-18. doi: 10.1353/hpu.2013.0025.
Recent federal policy supports an individual's preference for home and community-based long-term care, even among nursing home residents. Optimizing transitions from the nursing home to home is a complex undertaking that requires addressing the interrelationships between health literacy and cultural-linguistic factors in the nation's increasingly diverse older adult population. We look at four Asian American and Pacific Islander elder populations to illustrate that differing health profiles and cultural-linguistic values can affect the type of care and support needed and preferred. A research gap exists that links these factors together for optimal transitional care. The paper presents a conceptual framework and proposes a six-point research agenda that includes family assessments of health literacy abilities, exploring the relationship between culture, health, and decision-making, and the development/adaptation of transition planning tools.
近期的联邦政策支持个人对居家和社区长期护理的偏好，即使是在养老院居民中也是如此。优化从养老院到家庭的过渡是一项复杂的工作，需要解决美国日益多样化的老年人群体中健康素养与文化语言因素之间的相互关系。我们研究了四个亚裔美国人和太平洋岛民老年人群体，以说明不同的健康状况和文化语言价值观如何影响所需和偏好的护理及支持类型。目前存在一个研究空白，即未能将这些因素联系起来以实现最佳的过渡护理。本文提出了一个概念框架，并提出了一个六点研究议程，其中包括对健康素养能力的家庭评估、探索文化、健康与决策之间的关系，以及开发/改编过渡规划工具。
