Kveloce I+D+I (Senior Europa S.L.), 46003 Valencia, Spain.
The Research Institute on Social Welfare Policy (POLIBIENESTAR), University of Valencia, Tarongers Campus, 46022 Valencia, Spain.
Int J Environ Res Public Health. 2023 Oct 3;20(19):6880. doi: 10.3390/ijerph20196880.
A new intervention model for promoting healthy ageing grounded on integrated value-based care was developed and tested in the city of Valencia (Spain). Its implementation raised relevant barriers for older adults in their access to health, health promotion, and health self-management linked with their health and digital literacy. This new intervention model included several aspects. On the one hand, researchers together with older adults and their informal caregivers participating in the study, designed personalized care plans, based on older adults' specific needs, to be implemented with the support of a digital solution. On the other hand, researchers and health and social professionals implemented a series of workshops in different locations of the city to encourage a sense of community among participants, reinforcing their trust in the new care model and increasing their adherence. Social activities were at the core of the workshops to understand older people's interaction with the health and social services provided in the neighborhood. Qualitative and quantitative methods were combined to extract information from older participants on how to engage them as active actors of their health and understand their values and preferences. In the present manuscript, we focus on the qualitative results, which show that after a post-pandemic situation, they were more concerned about social isolation and desired face-to-face contact with their professional care team; however, feelings of loneliness and/or sadness were not considered among the reasons to visit health professionals. Some of the conclusions revealed that the use of technology as a supportive tool is well received but with a stress on its role as "supportive", and not replacing the close contact with healthcare professionals. Professionals recognized the benefits of this new approach but required more time and incentives to dedicate the effort needed. The main aim of this study was to present these barriers related to health access, health promotion, and health self-management, as well as the actions developed to face them.
一个新的干预模式，基于整合的价值为基础的护理，被开发并在巴伦西亚市（西班牙）进行了测试，以促进健康老龄化。其实施为老年人在获得与其健康和数字素养相关的健康、健康促进和健康自我管理方面带来了相关障碍。这个新的干预模式包括几个方面。一方面，研究人员与参与研究的老年人及其非正式照护者一起，根据老年人的特定需求，设计个性化的护理计划，该计划将在数字解决方案的支持下实施。另一方面，研究人员和卫生与社会专业人员在城市的不同地点实施了一系列的研讨会，以鼓励参与者之间的社区意识，增强他们对新护理模式的信任，并提高他们的依从性。社交活动是研讨会的核心，以了解老年人与邻里提供的卫生和社会服务的互动。定性和定量方法相结合，从老年人参与者那里提取信息，了解如何让他们成为自己健康的积极参与者，并理解他们的价值观和偏好。在本手稿中，我们重点介绍定性结果，这些结果表明，在大流行后，他们更加关注社会隔离，并渴望与他们的专业护理团队进行面对面的接触；然而，孤独感和/或悲伤感并不是他们去看卫生专业人员的原因。一些结论表明，作为一种支持工具的技术的使用受到欢迎，但强调了其作为“支持”的作用，而不是取代与医疗保健专业人员的密切接触。专业人员认识到这种新方法的好处，但需要更多的时间和激励来投入所需的努力。本研究的主要目的是提出与获得健康、促进健康和自我健康管理相关的这些障碍，以及为应对这些障碍而采取的行动。
