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成功老龄化与家庭照料的交集。

The Intersection of Successful Aging and Family Caregiving.

作者信息

Bangerter Lauren R, Kim Yijung, Fields Beth, Wittke Michael Reese, Perepezko Kate

机构信息

Health Economics and Aging Research Institute, MedStar Health, Hyattsville, Maryland, USA.

Department of Kinesiology, University of Wisconsin-Madison, Madison, Wisconsin, USA.

出版信息

Gerontologist. 2024 Dec 13;65(1). doi: 10.1093/geront/gnae054.

Abstract

For the millions of older adults who rely on the support of a family caregiver, successful aging is not an individual achievement but a cooperative process between a care receiver and a caregiver. Yet, family caregivers are rarely incorporated into theoretical models of successful aging. Family caregivers also play an essential role in recent healthcare delivery movements that seek to better align care delivery with successful aging. Greater reliance on family caregivers by the U.S. healthcare system is occurring as an increasingly vocal constituency is tasking policymakers with developing and implementing federal and state health policies that would help build the national infrastructure needed to support them. This paper provides a critical discussion of how family caregivers actualize successful aging for older adults. We highlight the key role of family caregivers in healthcare delivery innovations aimed at facilitating successful aging and discuss policies that support family caregivers. As successful aging continues to evolve as a dominating framework in the literature, we conclude with key recommendations for how research, policy, and practice efforts in successful aging can be more inclusive and supportive of family caregivers.

摘要

对于数百万依赖家庭照料者支持的老年人而言,成功老龄化并非个人成就,而是受照料者与照料者之间的合作过程。然而,家庭照料者很少被纳入成功老龄化的理论模型。在近期旨在使医疗服务更好地与成功老龄化相匹配的医疗服务提供运动中,家庭照料者也发挥着至关重要的作用。随着越来越多有影响力的选民要求政策制定者制定和实施联邦及州级卫生政策,以帮助构建支持家庭照料者所需的国家基础设施,美国医疗系统对家庭照料者的依赖程度日益增加。本文对家庭照料者如何促使老年人实现成功老龄化进行了批判性讨论。我们强调了家庭照料者在旨在促进成功老龄化的医疗服务创新中的关键作用,并讨论了支持家庭照料者的政策。鉴于成功老龄化在文献中持续发展成为一个主导框架,我们最后提出了关键建议,说明成功老龄化方面的研究、政策和实践工作如何能够更具包容性并支持家庭照料者。

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