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谁来照顾照顾者?为澳大利亚老年人的老年照护者设计一个照护者健康和福利诊所。

Who cares for the carer? Codesigning a carer health and wellbeing clinic for older care partners of older people in Australia.

机构信息

Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Frankston, Victoria, Australia.

National Centre for Healthy Ageing, Monash University and Peninsula Health, Frankston, Victoria, Australia.

出版信息

Health Expect. 2023 Dec;26(6):2644-2654. doi: 10.1111/hex.13863. Epub 2023 Sep 8.

Abstract

INTRODUCTION

Older carers or 'care partners' of older people experiencing care needs often provide essential support, at times while neglecting their own health and well-being. This is an increasingly frequent scenario due to both demographic changes and policy shifts towards ageing in place. Multiple community stakeholders within the care and support ecosystem hold valuable expertise about the needs of older care partners, and the programme and policy responses that may better support their health and well-being. The aim of this study was to identify the perspectives of stakeholders obtained through the codesign phase of a multicomponent research project investigating new models of care and support for older care partners suitable for the Australian context.

METHODS

Principles of codesign were used to engage a purposeful sample of older care partners, health professionals, researchers, policy makers and health service administrators. Participants took part in a series of three codesign workshops conducted remotely via video conferencing. The workshops were supported with briefing material and generated consensus-based summaries, arriving at a preferred service model.

FINDINGS

This paper reports the research design and structure of the codesign panels, the range of findings identified as important to support the health and well-being of older carers of older people, and the resulting service model principles. The codesigned and preferred model of care is currently being prepared for implementation and evaluation in Australia.

PUBLIC CONTRIBUTION

This study was conducted using codesign methodology, whereby stakeholders including older care partners and others involved in supporting older carers, were integrally involved with design, development, results and conclusions.

摘要

简介

老年人的照顾者或“照顾伙伴”经常为有需要的老年人提供重要的支持,有时甚至忽略了自己的健康和福祉。这种情况越来越常见,这是由于人口结构变化和政策向就地养老转变。在护理和支持生态系统中,多个社区利益相关者拥有有关老年照顾伙伴需求的宝贵专业知识,以及可能更好地支持他们健康和福祉的计划和政策应对措施。本研究的目的是确定通过一项多部分研究项目的共同设计阶段获得的利益相关者的观点,该项目调查适合澳大利亚背景的老年照顾伙伴的新护理和支持模式。

方法

采用共同设计原则,邀请有目的的老年照顾伙伴、卫生专业人员、研究人员、政策制定者和卫生服务管理人员参与。参与者通过视频会议远程参加了一系列三次共同设计研讨会。研讨会得到了简报材料的支持,并生成了基于共识的摘要,以确定首选服务模式。

结果

本文报告了共同设计小组的研究设计和结构、确定为支持老年人照顾者的健康和福祉而重要的发现范围,以及由此产生的服务模式原则。目前正在为在澳大利亚实施和评估共同设计和首选的护理模式做准备。

公众贡献

本研究采用共同设计方法进行,包括老年照顾者在内的利益相关者以及其他参与支持老年照顾者的人员都参与了设计、开发、结果和结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f603/10632619/0faa70db7c24/HEX-26--g001.jpg

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