Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan.
Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan.
Health Policy. 2018 Dec;122(12):1377-1383. doi: 10.1016/j.healthpol.2018.09.015. Epub 2018 Sep 28.
In the continuously aging society, private sectors are expected to play a role in older adult care. Implementing an agreement between municipalities and private sectors is one of the key mechanisms for encouraging private sectors to participate in supporting older adults. The study's aim was to evaluate whether the support agreement has promoted support activities by convenience store staff for older adults. A retrospective observational study was conducted between 2013 and 2016 using data from a nationwide survey of convenience stores. The municipality-level matching produced 168 municipality pairs, with 2242 convenience stores that entered into a support agreement with municipalities from 2014 to 2015, and 2141 stores without such an agreement. Convenience store-level logistic regression analysis evaluated the impact of the agreement on staff activities. The analysis showed that some staff activities increased significantly with the support agreement, such as corresponding or collaborating with community support centers (AOR = 3.40; 95% CI: 2.22 to 5.26), participating in role-playing programs for older adult care (AOR = 2.05; 95% CI: 1.01 to 4.26), and attending dementia support lectures (AOR = 18.21; 95% CI: 8.27 to 45.34). Emergency protection for older adults did not increase with the support agreement. The results suggest that the support agreement positively influenced some convenience store staff's support activities for older adults.
在不断老龄化的社会中,私营部门被期望在老年人护理中发挥作用。实施市与私营部门之间的协议是鼓励私营部门参与支持老年人的关键机制之一。本研究旨在评估支持协议是否促进了便利店员工对老年人的支持活动。这是一项 2013 年至 2016 年期间开展的回顾性观察研究,使用了全国便利店调查的数据。通过市一级的匹配,产生了 168 对市,其中 2014 年至 2015 年有 2242 家便利店与市签订了支持协议,2141 家便利店没有签订该协议。便利店层面的逻辑回归分析评估了协议对员工活动的影响。分析表明,一些员工活动随着支持协议的签订显著增加,例如与社区支持中心对应或合作(优势比[OR] = 3.40;95%可信区间[CI]:2.22 至 5.26)、参与老年人护理角色扮演项目(OR = 2.05;95% CI:1.01 至 4.26)和参加痴呆症支持讲座(OR = 18.21;95% CI:8.27 至 45.34)。老年人的紧急保护并没有随着支持协议的签订而增加。研究结果表明,支持协议对便利店员工对老年人的一些支持活动产生了积极影响。