Sullivan-Marx Eileen M
New York University, College of Nursing, New York, NY 10003, USA.
J Gerontol Nurs. 2013 Sep;39(9):13-6. doi: 10.3928/00989134-20130731-02. Epub 2013 Aug 16.
Following the enactment of Medicare in 1965, access to health care for older adults in the United States improved. At the same time, nurse researchers and policy leaders developed individual and family-centered care interventions and programs that led to improvements in quality of health and life. In the next 20 to 30 years, U.S. and global projections of an expanding aging cohort with potential increases in health care needs, coupled with continued nursing shortage projections, present challenges and opportunities to enhance gerontological nursing's approach to aging care. Invigorating a public health nursing focus on the needs of a population of older adults could enhance nursing's ability to create policy and programs of care that promote quality of life for older adults and their families. Nurses using public health approaches can lead and support social policies regarding the physical environment and daily life circumstances that contribute to health equity. Heightened attention to competencies in community/public health nursing education and promotion of public health nursing careers will be important policy considerations as we face the looming increase in a population of older adults throughout the world.
1965年医疗保险制度颁布后，美国老年人获得医疗保健的机会有所改善。与此同时，护士研究人员和政策领导者制定了以个人和家庭为中心的护理干预措施和项目，从而提高了健康和生活质量。在未来20到30年里，美国和全球预计老年人群体将不断扩大，医疗保健需求可能增加，再加上预计护士短缺情况将持续，这给加强老年护理的老龄护理方法带来了挑战和机遇。振兴公共卫生护理对老年人群体需求的关注，可能会提高护理人员制定促进老年人及其家庭生活质量的护理政策和项目的能力。采用公共卫生方法的护士可以引领并支持有关有助于实现健康公平的物理环境和日常生活环境的社会政策。在我们面对全球老年人口迫在眉睫的增长时，更加重视社区/公共卫生护理教育中的能力培养以及促进公共卫生护理职业发展，将是重要的政策考量因素。
