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加拿大的养老院有未来吗?

Is there a future for nursing homes in Canada?

机构信息

7991York University, Toronto, Ontario, Canada.

Carleton University, Ottawa, Ontario, Canada.

出版信息

Healthc Manage Forum. 2022 Jan;35(1):17-20. doi: 10.1177/08404704211037788. Epub 2021 Sep 15.

DOI:10.1177/08404704211037788
PMID:34525857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8674800/
Abstract

The high rates of nursing home deaths in the wake of COVID-19 have led to calls for their elimination and their replacement by home care. Based on years of research in Canada and abroad, this article argues that nursing homes are not just necessary, they provide significant benefits for those living in, working in, and visiting in them. In developing this argument, the article begins by setting out why long-term residential care is necessary before moving on to consider the benefits of such care, benefits that go beyond the clinical. It concludes by identifying factors that can make nursing homes a positive option while helping to avoid pandemic horrors in the future.

摘要

在 COVID-19 之后,养老院的高死亡率导致人们呼吁将其淘汰,并以家庭护理取而代之。本文基于加拿大和国外多年的研究,认为养老院不仅是必要的,而且为居住、工作和探视养老院的人提供了重要的好处。在提出这一论点时,本文首先阐述了为什么长期居住护理是必要的,然后再考虑这种护理的好处,这些好处超出了临床范围。最后,本文确定了一些因素,这些因素可以使养老院成为一个积极的选择,同时有助于避免未来的大流行病灾难。

相似文献

1
Is there a future for nursing homes in Canada?加拿大的养老院有未来吗?
Healthc Manage Forum. 2022 Jan;35(1):17-20. doi: 10.1177/08404704211037788. Epub 2021 Sep 15.
2
COVID-19 and Long-Term Care Policy for Older People in Canada.加拿大 COVID-19 与老年人长期护理政策
J Aging Soc Policy. 2020 Jul-Oct;32(4-5):358-364. doi: 10.1080/08959420.2020.1764319. Epub 2020 May 18.
3
Staffing for Quality in Canadian Long-Term Care Homes.加拿大长期护理院的人员配备与质量
Healthc Pap. 2021 Sep;20(1):40-50. doi: 10.12927/hcpap.2021.26641.
4
Impact of a Public Policy Restricting Staff Mobility Between Nursing Homes in Ontario, Canada During the COVID-19 Pandemic.加拿大安大略省在新冠疫情期间一项限制养老院工作人员流动的公共政策的影响
J Am Med Dir Assoc. 2021 Mar;22(3):494-497. doi: 10.1016/j.jamda.2021.01.068. Epub 2021 Jan 26.
5
Developing and evaluating online COVID-centric advance care planning training and information resources for nursing staff and family members in nursing homes: the necessary discussions study protocol.制定和评估面向在线 COVID 护理人员和养老院家属的预先护理计划培训和信息资源:必要的讨论研究方案。
BMC Geriatr. 2021 Aug 9;21(1):456. doi: 10.1186/s12877-021-02398-1.
6
Seropositivity and risk factors for SARS-CoV-2 infection in staff working in care homes during the COVID-19 pandemic.新冠疫情期间养老院工作人员中SARS-CoV-2感染的血清阳性率及危险因素
J Infect. 2021 Apr;82(4):84-123. doi: 10.1016/j.jinf.2020.10.035. Epub 2020 Nov 4.
7
Deaths in Nursing Homes during the COVID-19 Pandemic - Lessons from Japan.养老院在 COVID-19 大流行期间的死亡情况——来自日本的经验教训。
Healthc Pap. 2021 Sep;20(1):78-81. doi: 10.12927/hcpap.2021.26637.
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The Impact of COVID-19 Pandemic on Long-Term Care Facilities Worldwide: An Overview on International Issues.COVID-19 大流行对全球长期护理机构的影响:国际问题概述。
Biomed Res Int. 2020 Nov 4;2020:8870249. doi: 10.1155/2020/8870249. eCollection 2020.
9
COVID-19 Preparedness and Perceived Safety in Nursing Homes in Southern Portugal: A Cross-Sectional Survey-Based Study in the Initial Phases of the Pandemic.葡萄牙南部养老院的 COVID-19 准备情况和感知安全性:大流行初始阶段基于横断面调查的研究。
Int J Environ Res Public Health. 2021 Jul 28;18(15):7983. doi: 10.3390/ijerph18157983.
10
Socialize, De-Commodify and De-Financialize Long-Term Care.使长期护理社会化、去商品化和去金融化。
Healthc Pap. 2021 Sep;20(1):34-39. doi: 10.12927/hcpap.2021.26642.

本文引用的文献

1
A Comparison of COVID-19 Mortality Rates Among Long-Term Care Residents in 12 OECD Countries.经合组织12个国家长期护理机构居民中新冠病毒疾病死亡率的比较
J Am Med Dir Assoc. 2020 Nov;21(11):1572-1574.e3. doi: 10.1016/j.jamda.2020.08.039. Epub 2020 Sep 12.
2
For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths.营利性长期护理院与 COVID-19 爆发和居民死亡的风险。
CMAJ. 2020 Aug 17;192(33):E946-E955. doi: 10.1503/cmaj.201197. Epub 2020 Jul 22.
3
Social Isolation-the Other COVID-19 Threat in Nursing Homes.社交隔离——养老院中新冠疫情的另一大威胁。
JAMA. 2020 Aug 18;324(7):619-620. doi: 10.1001/jama.2020.13484.
4
Appropriate Nurse Staffing Levels for U.S. Nursing Homes.美国疗养院的适当护士人员配备水平
Health Serv Insights. 2020 Jun 29;13:1178632920934785. doi: 10.1177/1178632920934785. eCollection 2020.
5
Nurse Staffing and Coronavirus Infections in California Nursing Homes.加利福尼亚州养老院的护士人员配备与冠状病毒感染情况
Policy Polit Nurs Pract. 2020 Aug;21(3):174-186. doi: 10.1177/1527154420938707. Epub 2020 Jul 7.
6
Observational Evidence of For-Profit Delivery and Inferior Nursing Home Care: When Is There Enough Evidence for Policy Change?营利性养老服务与劣质养老院护理的观察证据:何时有足够证据推动政策变革?
PLoS Med. 2016 Apr 19;13(4):e1001995. doi: 10.1371/journal.pmed.1001995. eCollection 2016 Apr.
7
Nursing home profit status and quality of care: is there any evidence of an association?养老院的盈利状况与护理质量:是否存在关联证据?
Med Care Res Rev. 2005 Apr;62(2):139-66. doi: 10.1177/1077558704273769.