Assistant Professor, Department of Systems, Populations and Leadership, University of Michigan School of Nursing , Ann Arbor, Michigan, USA.
Institute for Healthcare Policy and Innovation, University of Michigan , Ann Arbor, Michigan, USA.
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):450-459. doi: 10.1080/08959420.2020.1771239. Epub 2020 May 22.
COVID-19 has revealed gaps in services and supports for older adults, even as needs for health and social services have dramatically increased and may produce a cascade of disability after the pandemic subsides. In this essay, we discuss the perfect storm of individual and environmental risk factors, including deconditioning, reductions in formal and informal care support, and social isolation. We then evaluate opportunities that have arisen for strengthening person-centered services and supports for older adults, through in-home acute and primary medical care, aggressive use of video telehealth and social interaction, and implementation of volunteer or paid intergenerational service.
COVID-19 暴露出老年人服务和支持方面的差距，尽管健康和社会服务的需求急剧增加，并且大流行消退后可能会导致一连串的残疾。在这篇文章中，我们讨论了个人和环境风险因素的完美风暴，包括身体机能下降、正规和非正规护理支持减少以及社会隔离。然后，我们评估了通过家庭急性和初级医疗保健、积极使用视频远程医疗和社交互动以及实施志愿者或有偿代际服务，为加强老年人的以人为本的服务和支持而带来的机会。
