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一项关于健康老龄化和共同生产的定性研究。

A qualitative study of healthy ageing and co-production.

机构信息

Department of Public Health, Unit for Health Promotion, University of Southern Denmark, 6705, Esbjerg Ø, Denmark.

Olomouc University Social Health Institute OUSI, Palacky University Olomouc, Katerinska 653/17, 77900, Olomouc, Czech Republic.

出版信息

Sci Rep. 2024 Sep 11;14(1):21239. doi: 10.1038/s41598-024-71787-4.

Abstract

Europe's ageing population increases the demand for housing solutions targeting older citizens' needs and preferences. Establishing age-friendly communities fostering social participation is essential for healthy ageing and various housing options with shared facilities prioritizing social contact have emerged. While involving older people in public service delivery is emphasized, studies on co-production with older people in building age-friendly communities remain limited. This study explores a co-production initiative between older citizens, a municipality and a real estate company in a newly established senior village focusing on organizational settings and physical facilities. A qualitative study inspired by the BIKVA methodology was conducted using focus group interviews with citizens, frontline staff, and management. Through reflexive thematic analysis, the physical environment, organizational setting and other factors influencing the co-production process were analysed. Citizens expressed satisfaction with the unique physical environment, the different activities and being involved in the co-production process on development and building up the senior village. However, the co-production initiative was influenced by the lack of frontline staff involvement, how the physical facilities were organized for building inclusive communities as well as the level of information provided to align expectations among stakeholders. Involving older citizens in the co-production of age-friendly community initiatives has the potential to take the identified challenges into account. To understand what constitutes an optimal environment for healthy ageing further research in collaboration with older citizens is needed.

摘要

欧洲人口老龄化增加了对满足老年人需求和偏好的住房解决方案的需求。建立促进社会参与的宜居社区对于健康老龄化至关重要,因此出现了各种共享设施的住房选择,优先考虑社交接触。虽然强调了让老年人参与公共服务提供,但关于在建设宜居社区方面与老年人共同生产的研究仍然有限。本研究探讨了在一个新成立的专注于组织环境和物理设施的高级村庄中,老年人、市政府和房地产公司之间的共同生产倡议。本研究采用 BIKVA 方法论启发的定性研究,对公民、一线工作人员和管理层进行了焦点小组访谈。通过反思性主题分析,分析了影响共同生产过程的物理环境、组织环境和其他因素。公民对独特的物理环境、不同的活动以及参与共同生产过程以开发和建设高级村庄表示满意。然而,共同生产倡议受到一线工作人员参与度的缺乏、如何组织物理设施以建立包容性社区以及向利益相关者提供信息以协调期望的程度的影响。让老年人参与宜居社区倡议的共同生产有可能考虑到已确定的挑战。为了了解健康老龄化的最佳环境,需要与老年人合作进行进一步的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef65/11391054/0fbfede9c528/41598_2024_71787_Fig1_HTML.jpg

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