Steiner-Lim Genevieve Z, Karamacoska Diana, Abramov Gamze, Dubois Shamieka, Harley Anne, McDonald Keith, Hohenberg Mark I
NICM Health Research Institute and Translational Health Research Institute (THRI), Western Sydney University, Penrith NSW 2751, AU.
NICM Health Research Institute, Western Sydney University, Penrith NSW 2751, AU.
Int J Integr Care. 2023 Sep 22;23(3):14. doi: 10.5334/ijic.7005. eCollection 2023 Jul-Sep.
Well-integrated community aged care services empower and enable older people to live and thrive in the community by supporting activities of daily living. To inform integrated community aged care service planning and delivery in South Western Sydney Australia, a needs assessment with consumers (i.e., older people), their caregivers, and healthcare providers was conducted. This study details the comprehensive and inclusive needs assessment process undertaken, with a focus on translating the findings into practice to improve integrated care.
Qualitative interviews and community forum-style focus groups engaged 160 stakeholders including GPs, older people, and aged care workers. Transcribed data were thematically coded using an inductive approach. Data were organised into four themes: 1) access to community aged care services; (2) healthcare and medical needs; (3) social concerns and needs; and (4) education and information needs.
The needs assessment undertaken identified unmet needs, gaps in service provision, and recommendations for improving integrated community aged care services.
Findings are novel in the context of South Western Sydney, Australia. The study design, methods employed, and lessons learned can be adapted internationally for future needs assessments to inform policy, strategies, and integrated aged care service delivery.
完善的社区老年护理服务通过支持日常生活活动，使老年人能够在社区中生活并蓬勃发展。为了为澳大利亚悉尼西南部的综合社区老年护理服务规划和提供提供信息，对消费者（即老年人）、他们的护理人员和医疗保健提供者进行了需求评估。本研究详细介绍了所开展的全面且包容的需求评估过程，重点是将研究结果转化为实践以改善综合护理。
定性访谈和社区论坛式焦点小组吸引了160名利益相关者参与，包括全科医生、老年人和老年护理工作者。使用归纳法对转录数据进行主题编码。数据被整理成四个主题：1）获得社区老年护理服务；（2）医疗保健和医疗需求；（3）社会关注和需求；以及（4）教育和信息需求。
所进行的需求评估确定了未满足的需求、服务提供方面的差距以及改善综合社区老年护理服务的建议。
研究结果在澳大利亚悉尼西南部的背景下具有新颖性。研究设计、采用的方法以及吸取的经验教训可在国际上进行调整，用于未来的需求评估，以为政策、战略和综合老年护理服务提供提供信息。
