Huisingh-Scheetz Megan, Muramatsu Naoko, Konetzka R Tamara, Chin Marshall H
Section of Geriatrics and Palliative Medicine at the University of Chicago.
School of Public Health at the University of Illinois, Chicago.
Generations. 2024 Summer;48(2). Epub 2024 Jun 26.
To achieve optimal, equitable health outcomes for all older adults, the United States desperately needs equity in access to, quality of, and cost of aging care. To illustrate these needs, we discuss the current inequitable state of frailty care. Frailty disproportionately affects marginalized populations, yet these populations struggle to access high-quality geriatrics care and long-term care services and supports (LTSS) that mitigate frailty, leading to accelerated frailty trajectories. Health services research can provide the data needed to document, elucidate, and address health inequities in frailty care, including early identification and referral of frail adults to specialized care and financing LTSS.
为了让所有老年人都能实现最佳、公平的健康结果，美国迫切需要在老年护理的可及性、质量和成本方面实现公平。为了说明这些需求，我们讨论了当前衰弱护理的不公平状况。衰弱对边缘化人群的影响尤为严重，但这些人群难以获得能够减轻衰弱的高质量老年护理和长期护理服务与支持，从而导致衰弱进程加速。卫生服务研究可以提供必要的数据，用以记录、阐明和解决衰弱护理中的健康不平等问题，包括对衰弱成年人进行早期识别并转诊至专科护理以及为长期护理服务与支持提供资金。
