Institute for Health & Aging, University of California, San Francisco, CA 94158, USA.
Philip Lee Institute for Health Policy Studies, University of California, San Francisco, CA 94158, USA.
Int J Environ Res Public Health. 2022 May 16;19(10):6021. doi: 10.3390/ijerph19106021.
(1) Background: A United States national policy advisory group (PAG) was convened to identify barriers and facilitators to expand formal long-term services and support (LTSS) for people living alone with cognitive impairment (PLACI), with a focus on equitable access among diverse older adults. The PAG's insights will inform the research activities of the Living Alone with Cognitive Impairment Project, which is aimed at ensuring the equitable treatment of PLACI. (2) Methods: The PAG identified barriers and facilitators of providing effective and culturally relevant LTSS to PLACI via one-on-one meetings with researchers, followed by professionally facilitated discussions among themselves. (3) Results: The PAG identified three factors that were relevant to providing effective and culturally relevant LTSS to PLACI: (i) better characterization of PLACI, (ii) leveraging the diagnosis of cognitive impairment, and (iii) expanding and enhancing services. For each factor, the PAG identified barriers and facilitators, as well as directions for future research. (4) Conclusions: The barriers and facilitators the PAG identified inform an equity research agenda that will help inform policy change.
（1）背景：一个美国国家政策顾问小组（PAG）被召集起来，以确定扩大独居认知障碍人士（PLACI）的正式长期服务和支持（LTSS）的障碍和促进因素，重点是不同老年人之间公平获得服务的机会。该 PAG 的意见将为独居认知障碍项目的研究活动提供信息，该项目旨在确保对 PLACI 的公平对待。（2）方法：PAG 通过与研究人员的一对一会议，以及他们之间专业的讨论，确定了为 PLACI 提供有效和文化相关的 LTSS 的障碍和促进因素。（3）结果：PAG 确定了三个与为 PLACI 提供有效和文化相关的 LTSS 相关的因素：（i）更好地描述 PLACI，（ii）利用认知障碍的诊断，以及（iii）扩大和增强服务。对于每个因素，PAG 都确定了障碍和促进因素，以及未来研究的方向。（4）结论：PAG 确定的障碍和促进因素为公平研究议程提供了信息，这将有助于推动政策变革。
