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注意间隙:比较服务提供者的观点与社区中痴呆症患者的需求。

Mind the gap: Comparing perspectives of service providers to the needs of people with dementia living in the community.

机构信息

Curtin University, Australia.

出版信息

Dementia (London). 2021 May;20(4):1425-1441. doi: 10.1177/1471301220947837. Epub 2020 Aug 5.

DOI:10.1177/1471301220947837
PMID:32755229
Abstract

INTRODUCTION

Research with West Australian people with dementia and their carers living in the community identified that they have a diverse range of needs. However, little is known about the needs of people with dementia and their carers from the perspectives of service providers who provide formal support. This study aimed to investigate the needs of people with dementia and their carers living in the community from the perspectives of service providers, and compare this to service recipients.

METHOD

This interpretive descriptive study used focus groups to collect qualitative data from service providers ( = 10). Data were analysed using a hybrid inductive-deductive approach to compare the needs identified by service providers to those identified by people with dementia and their carers.

RESULTS

Three major themes were identified: (i) services and supports required by people with dementia and their carers should be flexible, tailored, and equitable; (ii) building capacity to support carers and people with dementia; and (iii) systems designed to care were fragmented and difficult to navigate. Service providers prioritise needs that are limited to their current capacity to provide in contrast to the holistic needs of people with dementia and their carers.

CONCLUSION

There was poor alignment between the perceived needs of people with dementia and their carers and the needs prioritised by service providers in the West Australian community. This gap may reduce the ability of services to effectively support people with dementia to remain living in the community.

摘要

简介

对西澳大利亚州社区中患有痴呆症的患者及其护理人员进行的研究表明,他们有各种各样的需求。然而,对于提供正式支持的服务提供者来说,他们对痴呆症患者及其护理人员的需求知之甚少。本研究旨在从服务提供者的角度调查社区中痴呆症患者及其护理人员的需求,并将其与服务接受者进行比较。

方法

本解释性描述性研究使用焦点小组从服务提供者(n = 10)处收集定性数据。采用混合归纳演绎方法分析数据,比较服务提供者确定的需求与痴呆症患者及其护理人员确定的需求。

结果

确定了三个主要主题:(i)痴呆症患者及其护理人员所需的服务和支持应具有灵活性、针对性和公平性;(ii)培养支持护理人员和痴呆症患者的能力;(iii)旨在关怀的系统支离破碎,难以驾驭。服务提供者优先考虑的是他们目前提供服务的能力范围内的需求,而不是痴呆症患者及其护理人员的整体需求。

结论

在西澳大利亚社区中,痴呆症患者及其护理人员的感知需求与服务提供者优先考虑的需求之间存在差距。这种差距可能会降低服务有效支持痴呆症患者继续在社区中生活的能力。

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