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对武装部队契约基金信托老年退伍军人基金的批判性分析。

Critical analysis of the Armed Forces Covenant Fund Trust Aged Veterans Fund.

作者信息

Di Lemma Lisa C G, Finnegan A, Howe S

机构信息

Westminster Centre for Research in Veterans, University of Chester, Chester, UK.

Westminster Centre for Research in Veterans, University of Chester, Chester, UK

出版信息

BMJ Mil Health. 2022 Feb;168(1):49-56. doi: 10.1136/bmjmilitary-2020-001716. Epub 2021 Mar 31.

Abstract

BACKGROUND

Relatively little research is available regarding the specific needs of older military veterans and the services introduced to support them. In 2016, the Armed Forces Covenant Fund Trust launched the Aged Veterans Fund (AVF), to understand the impact that military service may have on ageing, and to support initiatives targeting their health and well-being. This fund was financed for 5 years and included 19 UK portfolio projects.

METHOD

The paper presents a retrospective evaluation on the processes and impact of the AVF, with the intent of informing policy, educational services, service providers and stakeholders of the lessons learnt. The inclusion criteria was veterans and their families aged 65 years of age or over. In 2019, data were drawn from documentary evidence related to the programmes. Qualitative analysis were performed on 78 eligible sources and 10 themes were identified.

RESULTS

Programmes were rolled out via collaborative partnerships referrals, focusing on person-centred or skill-exchange approaches. Challenges were encountered, such as capacity and timelines issues. A limited amount of associated cost-savings was observed, even if examples of sustainability and high satisfaction were reported. Evidence was found of programmes boosting health and well-being outcomes, in raising awareness, and in positively impacting on clinical practice, such as re-admission rates.

CONCLUSION

The AVF programmes were successful in their intent to provide support to older veterans and their families. The findings provide indicators of the next steps required for the support of ageing veterans. Further investigation of the cost-effectiveness of age-friendly veterans' services is needed.

摘要

背景

关于老年退伍军人的具体需求以及为支持他们而推出的服务,相关研究相对较少。2016年,武装部队契约基金信托启动了老年退伍军人基金(AVF),以了解军事服役对老龄化可能产生的影响,并支持针对他们健康和福祉的倡议。该基金为期5年,包括19个英国投资组合项目。

方法

本文对AVF的流程和影响进行了回顾性评估,旨在将所吸取的经验教训告知政策制定者、教育服务机构、服务提供者和利益相关者。纳入标准是65岁及以上的退伍军人及其家属。2019年,数据来自与这些项目相关的文献证据。对78个符合条件的来源进行了定性分析,确定了10个主题。

结果

项目通过合作伙伴关系推荐推出,侧重于以人为本或技能交流方法。遇到了一些挑战,如能力和时间安排问题。即使报告了可持续性和高满意度的例子,但观察到相关成本节约有限。有证据表明,这些项目在改善健康和福祉成果、提高认识以及对临床实践产生积极影响(如再入院率)方面取得了成效。

结论

AVF项目成功实现了为老年退伍军人及其家属提供支持的目标。研究结果为支持老年退伍军人所需的后续步骤提供了指标。需要进一步调查对老年退伍军人友好型服务的成本效益。

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