Department of Quality and Health Technology, Faculty of Health Sciences, SHARE - Centre for Resilience in Healthcare, University of Stavanger, Post Box 8600, Forus, Stavanger, 4036, Norway.
BMC Geriatr. 2023 Sep 19;23(1):576. doi: 10.1186/s12877-023-04303-4.
Most senior citizens want to live independently at home as long as possible. The World Health Organization recommends an age-friendly community approach by transforming the service ecosystem for senior citizens and basing it on the question "What matters to you?". However, there is limited research-based knowledge to determine the characteristics of the preferred service ecosystem from the perspectives of multiple stakeholders. Therefore, the aim of the study was to gain a deeper understanding of multiple stakeholder perspectives on the preferred service ecosystem for senior citizens living at home.
Four stakeholder groups (n = 57) from a Norwegian municipality participated in an interview study in 2019 and 2020: senior citizens, carers, healthcare professionals, and managers. Data were analysed according to qualitative content analysis.
Overall, there was considerable correspondence between the four stakeholder groups' perspectives on the preferred service ecosystem for senior citizens. Six themes were developed: (1) "self-reliance - living independently at home as long as possible"; (2) "remaining active and social within the community"; (3) "support for living at home as long as possible"; (4) "accessible information and services"; (5) "continuity of services"; and (6) "compassionate and competent healthcare professionals".
In order to adapt and meet changing needs, the preferred service ecosystem should support senior citizens' autonomy through interpersonal relationships and involvement. Healthcare managers and decision makers should consider a broader range of practical and social support services. Municipalities should plan for and develop age-friendly infrastructures, while healthcare professionals should rely on their compassion and competence to meet senior citizens' needs.
大多数老年人都希望尽可能长时间地独立在家生活。世界卫生组织建议采取一种对老年人友好的社区方法，通过转变老年人的服务生态系统，并基于“什么对您重要？”这一问题来实现这一目标。然而，从多个利益相关者的角度来确定理想的服务生态系统的特征，这方面基于研究的知识有限。因此，本研究的目的是更深入地了解多个利益相关者对居住在家中的老年人的理想服务生态系统的看法。
2019 年至 2020 年，来自挪威一个市的四个利益相关者群体（n=57）参与了访谈研究：老年人、护理人员、医疗保健专业人员和管理人员。数据按照定性内容分析进行分析。
总体而言，四个利益相关者群体对老年人理想服务生态系统的看法有相当大的一致性。确定了六个主题：（1）“自力更生-尽可能长时间独立在家生活”；（2）“在社区中保持活跃和社交”；（3）“支持尽可能长时间地在家生活”；（4）“可访问的信息和服务”；（5）“服务的连续性”；和（6）“富有同情心和能力的医疗保健专业人员”。
为了适应和满足不断变化的需求，理想的服务生态系统应通过人际关系和参与来支持老年人的自主性。医疗保健管理人员和决策者应考虑更广泛的实际和社会支持服务。市政当局应规划和发展对老年人友好的基础设施，而医疗保健专业人员应依靠他们的同情心和能力来满足老年人的需求。
