PhD Student, Faculté de médecine et des sciences de la santé, Université de Sherbrooke; Student, Research Centre on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC.
Professor, École de réadaptation, Faculté de médecine et des sciences de la santé, Université de Sherbrooke; Researcher, Research Centre on Aging, CIUSSS de l'Estrie - CHUS, Sherbrooke, QC.
Healthc Policy. 2021 Nov;17(2):105-118. doi: 10.12927/hcpol.2021.26654.
Implementing elder-dedicated local health and social services (LHSS) is primary for older Canadian adults to age in place. However, there is currently no synthesis of the factors (barriers and facilitators) involved in LHSS implementation.
This study aimed to synthesize current knowledge about the institutional factors involved in elder-dedicated LHSS implementation by describing them and their influence.
A scoping review was conducted using eight databases and the grey literature. Data were analyzed thematically.
A total of 23 documents led to the identification of 15 inter-influencing factors (12 barriers and 11 facilitators). Indeed, 20 connections were noted among factors, mostly among barriers.
Although some barriers and facilitators also affect the implementation of services dedicated to the general population in Canada, the interplay between agism and power issues needs to be taken into consideration for a successful elder-dedicated LHSS implementation.
为使加拿大老年人能够就地安享晚年，为老年人提供专门的当地卫生和社会服务（LHSS）至关重要。然而，目前尚无关于 LHSS 实施中涉及的因素（障碍和促进因素）的综合分析。
本研究旨在通过描述和影响来综合目前关于老年人专用 LHSS 实施的机构因素的相关知识。
使用八个数据库和灰色文献进行了范围审查。对数据进行了主题分析。
共 23 份文件确定了 15 个相互影响的因素（12 个障碍和 11 个促进因素）。实际上，注意到因素之间存在 20 种联系，其中大多数是障碍之间的联系。
尽管一些障碍和促进因素也会影响加拿大针对普通人群的服务的实施，但需要考虑到年龄歧视和权力问题之间的相互作用，以便成功实施老年人专用 LHSS。
