Moody Elaine, Martin-Misener Ruth, Warner Grace, Macdonald Marilyn, Weeks Lori E, Shaw Lynn, McKibbon Shelley
School of Nursing, Dalhousie University, Halifax, Canada.
School of Occupational Therapy, Dalhousie University, Halifax, Canada.
JBI Database System Rev Implement Rep. 2019 Nov;17(11):2326-2333. doi: 10.11124/JBISRIR-2017-003921.
The objective of this scoping review is to describe the available evidence reporting out-of-pocket expenses for aging-in-place for frail older people and their caregivers.
There has been an increased focus on supporting frail older people to live in the community, rather than in costly long-term residential care. The out-of-pocket expenses associated with supporting older people with frailty to remain in their homes and communities contribute to caregiver burden and can influence decisions about where to live.
This scoping review will consider literature on community-dwelling older people 60 years and older who have been identified as frail. Research and policy papers that report the out-of-pocket expenses incurred by older people with frailty or by their family or friend caregivers to support aging well at home will be included. Studies in English will be considered with no date restriction.
The search strategy aims to find both published and unpublished literature (e.g. policy papers, theses and dissertations). Search databases include CINAHL, PubMed, Scopus, Embase, PsycINFO, Sociological Abstracts, and Public Affairs Index, as well as databases of unpublished sources. The language will be limited to English or French. Title and abstract screening, as well as full-text screening, will be completed by two reviewers. Data will be charted to describe the body of literature focusing on elements such as type of literature, methods used, setting and out-of-pocket expenses. Data will be presented graphically when possible, and accompanied by a narrative that describes the characteristics of the body of literature.
本范围综述的目的是描述有关体弱老年人及其照护者居家养老自付费用的现有证据。
人们越来越关注支持体弱老年人在社区生活，而非在成本高昂的长期机构照护中生活。与支持体弱老年人居家和社区生活相关的自付费用会加重照护者负担，并可能影响居住地点的决策。
本范围综述将考虑有关60岁及以上被认定为体弱的社区居住老年人的文献。将纳入报告体弱老年人或其家人或朋友照护者为支持居家安老而产生的自付费用的研究和政策文件。将考虑不限日期的英文研究。
检索策略旨在查找已发表和未发表的文献（如政策文件、学位论文）。检索数据库包括护理学与健康领域数据库（CINAHL）、医学期刊数据库（PubMed）、Scopus数据库、荷兰医学文摘数据库（Embase）、心理学文摘数据库（PsycINFO）、社会学文摘数据库以及公共事务索引数据库，以及未发表文献的数据库。语言将限于英语或法语。两名评审人员将完成标题和摘要筛选以及全文筛选。将绘制数据图表以描述聚焦于文献类型、所用方法、背景和自付费用等要素的文献主体。如有可能，数据将以图表形式呈现，并附带描述文献主体特征的叙述。
