偏远原住民社区老年护理中资源与评估需求的（不）匹配。
The (mis)matching of resources and assessed need in remote Aboriginal community aged care.
作者信息
Bell Di, Lindeman Melissa A, Reid John Binda
机构信息
Centre for Remote Health, a joint centre of Flinders University and Charles Darwin University, Alice Springs, Northern Territory, Australia.
Poche Centre for Indigenous Health and Well-being, Flinders University, Alice Springs, Northern Territory, Australia.
出版信息
Australas J Ageing. 2015 Sep;34(3):171-6. doi: 10.1111/ajag.12164. Epub 2014 Dec 7.
AIM
To examine processes of aged-care needs assessment for Aboriginal people in remote central Australia to assist development of appropriate models of aged care.
METHOD
A qualitative study involving 11 semistructured interviews with aged-care assessors and two focus groups with Aboriginal community members.
RESULTS
This paper reports four major themes concerning how needs assessments relate to realities of service delivery: cultural perspectives on aged care, context of service delivery, equity and access to services, and program (mis)alignments.
CONCLUSION
Disparities exist between assessment recommendations and service availability, with a potential mismatch between Aboriginal understandings of needs, interpretations by individual assessment staff and program guidelines. Incorporating a conceptual framework, such as the International Classification of Functioning, Disability and Health, into service guidelines to ensure structured consideration of a person's holistic needs may assist, as will building the capacity of communities to provide the level and type of services required.
目的
研究澳大利亚中部偏远地区原住民老年护理需求评估流程，以助力开发合适的老年护理模式。
方法
开展一项定性研究，对老年护理评估人员进行11次半结构化访谈，并与原住民社区成员进行两次焦点小组讨论。
结果
本文报告了四个主要主题，涉及需求评估与服务提供现实之间的关系：老年护理的文化视角、服务提供背景、服务的公平性与可及性以及项目（不）匹配情况。
结论
评估建议与服务可获得性之间存在差距，原住民对需求的理解、个别评估人员的解读与项目指南之间可能存在不匹配。将诸如《国际功能、残疾和健康分类》这样的概念框架纳入服务指南，以确保对个人整体需求进行结构化考量可能会有所帮助，增强社区提供所需服务水平和类型的能力也会有帮助。
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