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医疗与辅助健康技术:满足老龄化人口的需求。

Medical and Assistive Health Technology: Meeting the Needs of Aging Populations.

机构信息

World Health Organization Centre for Health Development, Kobe, Japan.

World Health Organization, Geneva, Switzerland.

出版信息

Gerontologist. 2016 Apr;56 Suppl 2:S293-302. doi: 10.1093/geront/gnw005.

Abstract

PURPOSE OF THE STUDY

To identify policy gaps in the delivery and availability of assistive health technology (AHT) and medical devices (MD) for aging populations, particularly in low- and middle-income countries (LMICs).

DESIGN AND METHODS

The findings presented in this paper are the results of several narrative overviews. They provide a contextual analysis of the conclusions and evidence from WHO commissioned research and expert consultations in 2013 and 2014, as well as a synthesis of literature reviews conducted on AHT and MD.

RESULTS

Practical, life-enhancing support for older people through AHT, MD, and related health and social services is a neglected issue. This is particularly so in LMICs where the biggest increases in aging populations are occurring, and yet where there is commonly little or no access to these vital components of healthy aging.

IMPLICATIONS

Health technologies, especially medical and assistive health technology, are essential to ensure older people's dignity and autonomy, but their current and potential benefits have received little recognition in LMICs. Viewing these technologies as relevant only to disabled people is an inadequate approach. They should be accessible to both older adults with disabilities and older adults with functional limitation. Many countries need much greater official awareness of older adults' needs and preferences. Such attitudinal changes should then be reflected in laws and regulations to address the specificities of care for older people.

摘要

研究目的

确定在提供和提供辅助健康技术 (AHT) 和医疗器械 (MD) 以满足老龄化人口的需求方面存在的政策差距,特别是在中低收入国家 (LMIC) 中。

设计和方法

本文介绍的研究结果是几项叙述性综述的结果。它们对 2013 年和 2014 年世界卫生组织委托的研究和专家协商的结论和证据进行了背景分析,以及对 AHT 和 MD 进行的文献综述的综合分析。

结果

通过 AHT、MD 以及相关的健康和社会服务为老年人提供实用的、改善生活的支持是一个被忽视的问题。在老龄化人口增长最大的 LMIC 中尤其如此,但这些关键的健康老龄化组成部分通常很少或根本无法获得。

影响

健康技术,尤其是医疗和辅助健康技术,对于确保老年人的尊严和自主权至关重要,但在 LMIC 中,这些技术的当前和潜在益处几乎没有得到认可。将这些技术仅视为与残疾人有关是不够的。它们应该为残疾和功能受限的老年人都提供。许多国家都需要更加了解老年人的需求和偏好。这种态度的改变应该体现在法律法规中,以解决老年人护理的特殊性。

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