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思维地图项目:城市环境中的心理健康——关于欧洲针对老年人促进心理健康和预防精神障碍的医疗规划政策、战略及项目的调查设计与初步结果

The MINDMAP project: mental well-being in urban environments : Design and first results of a survey on healthcare planning policies, strategies and programmes that address mental health promotion and mental disorder prevention for older people in Europe.

作者信息

Neumann L, Dapp U, Jacobsen W, van Lenthe F, von Renteln-Kruse W

机构信息

Geriatrics Centre, Scientific Department at the University of Hamburg, Albertinen-Haus, Sellhopsweg 18-22, 22459, Hamburg, Germany.

Department of Public Health, Erasmus University Rotterdam, Rotterdam, The Netherlands.

出版信息

Z Gerontol Geriatr. 2017 Oct;50(7):588-602. doi: 10.1007/s00391-017-1290-7. Epub 2017 Aug 17.

DOI:10.1007/s00391-017-1290-7
PMID:28819693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5649390/
Abstract

BACKGROUND

The MINDMAP consortium (2016-2019) aims to identify opportunities provided by the urban environment for the promotion of mental well-being and functioning of older people in Europe by bringing together European cities with urban longitudinal ageing studies: GLOBE, HAPIEE, HUNT, LASA, LUCAS, RECORD, Rotterdam Study, Turin Study. A survey on mental healthcare planning policies and programmes dedicated to older persons covering the range from health promotion to need of nursing care was performed for profound data interpretation in Amsterdam, Eindhoven, Hamburg, Helsinki, Kaunas, Krakow, London, Nord-Trøndelag, Paris, Prague, Rotterdam and Turin.

OBJECTIVES

To collect detailed information on healthcare planning policies and programmes across these European cities to evaluate variations and to delineate recommendations for sciences, policies and planners using experience from evidence-based practice feedback from the MINDMAP cities.

MATERIALS AND METHODS

The MINDMAP partners identified experts in the 12 cities with the best background knowledge of the mental health sector. After pretesting, semi-structured telephone interviews (1-2 h) were performed always by the same person. A structured evaluation matrix based on the geriatric functioning continuum and the World Health Organization (WHO) Public Health Framework for Healthy Ageing was applied.

RESULTS

A complete survey (12 out of 12) was performed reporting on 41 policies and 280 programmes on the city level. It appeared from extensive analyses that the focus on older citizens, specific target groups, and multidimensional programmes could be intensified.

CONCLUSION

There is a broad variety to cope with the challenges of ageing in health, and to address both physical and mental capacities in older individuals and their dynamic interactions in urban environments.

摘要

背景

MINDMAP联盟(2016 - 2019年)旨在通过将欧洲城市与城市纵向老龄化研究(GLOBE、HAPIEE、HUNT、LASA、LUCAS、RECORD、鹿特丹研究、都灵研究)相结合,确定城市环境为促进欧洲老年人心理健康和功能提供的机会。针对阿姆斯特丹、埃因霍温、汉堡、赫尔辛基、考纳斯、克拉科夫、伦敦、北特伦德拉格、巴黎、布拉格、鹿特丹和都灵,开展了一项关于老年人心理保健规划政策和项目的调查,涵盖从健康促进到护理需求等方面,以进行深入的数据解读。

目的

收集这些欧洲城市医疗保健规划政策和项目的详细信息,评估差异,并根据MINDMAP城市循证实践反馈的经验,为科学、政策和规划者制定建议。

材料与方法

MINDMAP合作伙伴在12个城市中确定了心理健康领域背景知识最丰富的专家。经过预测试后,始终由同一人进行半结构化电话访谈(1 - 2小时)。应用了基于老年功能连续体和世界卫生组织(WHO)健康老龄化公共卫生框架的结构化评估矩阵。

结果

完成了一项全面调查(12个城市全部参与),报告了城市层面的41项政策和280个项目。广泛分析表明,对老年公民、特定目标群体和多维项目的关注可以加强。

结论

应对老龄化健康挑战、解决老年人身体和心理能力及其在城市环境中的动态相互作用的方式多种多样。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/5e3360dc01b4/391_2017_1290_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/0b9c1e8d6c6e/391_2017_1290_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/63f106aeb930/391_2017_1290_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/5e3360dc01b4/391_2017_1290_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/0b9c1e8d6c6e/391_2017_1290_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/63f106aeb930/391_2017_1290_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fff/5649390/5e3360dc01b4/391_2017_1290_Fig3_HTML.jpg

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