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[未来医疗保健——痴呆症健康服务研究的见解与策略]

[Healthcare of the future-Insights and strategy for (dementia) health services research].

作者信息

Boekholt Melanie, Afrin Dilshad, Cardona Maria Isabel, Dornquast Christina, Grond Martin, Haberstroh Julia, Hoffmann Wolfgang, Michalowsky Bernhard, Schumacher-Schönert Fanny, Stentzel Ulrike, van den Berg Neeltje, Vollmar Horst Christian, Thyrian Jochen René

机构信息

AG "interventionelle Versorgungsforschung", Standort Rostock/Greifswald, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Ellernholzstr. 1-2, 17489, Greifswald, Deutschland.

AG "translationale Versorgungsforschung", Standort Rostock/Greifswald, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Greifswald, Deutschland.

出版信息

Z Gerontol Geriatr. 2020 Dec;53(8):735-741. doi: 10.1007/s00391-020-01802-6. Epub 2020 Nov 2.

Abstract

BACKGROUND

Due to the demographic change healthcare for older people is becoming more important. A key strategic document for the near future is the national dementia strategy (NDS), which defines four fields of action including promoting excellent research on dementia. The NDS will guide and influence the further development of dementia healthcare research in the coming years.

OBJECTIVE

The current research on specific NDS topics is presented and an outlook on expected developments is given.

MATERIAL AND METHODS

This article provides a narrative review in which concepts and examples for selected sections of the NDS are presented: funding and promotion of healthcare research, development of evidence-based prevention and healthcare concepts and transfer into routine care, support for people with dementia (PwD) and their caregiver, cross-sectoral networking, participation in dementia research and networks in healthcare research. These were analyzed with respect to future developments and concretized based on current healthcare and promotion models.

RESULTS

Insights are given into the healthcare concept of dementia care management, rethinking regional healthcare models such as medicine and e‑health. The innovation fund and research practice networks are described as examples of current structural methods of evidence-based design of future healthcare.

CONCLUSION

The NDS represents an ambitious agenda with very comprehensive goals and topics for the improvement of healthcare for PwD and will probably significantly influence healthcare research and thus healthcare in the future. Overarching, mutually influencing and strengthening components on the way to improvement of the situation for PwD and the healthcare system are translation, participation and networking in research.

摘要

背景

由于人口结构变化,老年人的医疗保健变得越发重要。近期的一项关键战略文件是国家痴呆症战略(NDS),它确定了四个行动领域,包括促进痴呆症方面的卓越研究。NDS将在未来几年指导和影响痴呆症医疗保健研究的进一步发展。

目的

介绍当前关于NDS特定主题的研究,并对预期发展进行展望。

材料与方法

本文提供了一篇叙述性综述,介绍了NDS选定部分的概念和示例:医疗保健研究的资金投入与推广、循证预防和医疗保健概念的发展及其转化为常规护理、对痴呆症患者(PwD)及其照护者的支持、跨部门网络、参与痴呆症研究以及医疗保健研究网络。针对未来发展对这些内容进行了分析,并根据当前的医疗保健和推广模式进行了具体化阐述。

结果

深入探讨了痴呆症护理管理的医疗保健概念,重新思考了诸如医学和电子健康等区域医疗保健模式。创新基金和研究实践网络被作为未来医疗保健循证设计的当前结构性方法的示例进行了描述。

结论

NDS代表了一项雄心勃勃的议程,具有非常全面的目标和主题以改善痴呆症患者的医疗保健状况,并且可能会在未来显著影响医疗保健研究以及医疗保健本身。在改善痴呆症患者状况和医疗保健系统的过程中,总体上相互影响和强化的要素是研究中的转化、参与和网络建设。

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