Beth Israel Deaconess Medical Center, Hebrew SeniorLife, Boston, Massachusetts, USA.
J Am Geriatr Soc. 2020 May;68(5):967-969. doi: 10.1111/jgs.16408. Epub 2020 Mar 9.
Housing and the built environment are well-established social determinants of healthy longevity, yet no guidelines or standards exist for the design and construction of health-promoting environments, especially for older adults who are at risk for functional decline and frailty. To envision what should be included in the design of healthy communities, it may help to reverse-engineer what each of us would like our lives to look like in old age. In this special article, a geriatrician draws on his own personal aspirations and successful models of supportive community-based programs to suggest key factors that should be considered in the design of future living environments. These include healthy housing that can enable aging in place without social isolation and loneliness; engagement in meaningful and productive work; financial, physical, transportation, food, and housing security; and affordable high-quality home- and community-based healthcare. By conceptualizing what we would like our later years to look like, future leaders can be more deliberate in creating living environments that promote a long and productive health span. J Am Geriatr Soc 68:967-969, 2020.
住房和建筑环境是健康长寿的既定社会决定因素，但目前还没有设计和建造促进健康环境的指南或标准，特别是对于那些面临功能下降和虚弱风险的老年人。为了设想健康社区的设计应该包括哪些内容，我们可以反其道而行之，设想一下我们每个人都希望自己在老年时的生活是什么样子。在这篇特别文章中，一位老年病学家借鉴了自己的个人愿望和支持社区为基础的项目的成功模式，提出了在未来生活环境设计中应考虑的关键因素。这些因素包括能够实现不与社会隔离和孤独的原地养老的健康住房；从事有意义和富有成效的工作；经济、身体、交通、食品和住房保障；以及负担得起的高质量的家庭和社区医疗保健。通过设想我们希望自己的晚年生活是什么样子，未来的领导者可以更加精心地创造促进长寿和富有成效的健康期的生活环境。美国老年学会杂志 68:967-969, 2020。
