Ageing and Health Unit, Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
Department of Neurobiology, Care Sciences and Society, Stockholm University, Stockholm, Sweden.
Fam Med Community Health. 2024 Oct 23;12(4):e003116. doi: 10.1136/fmch-2024-003116.
Several research gaps affect the improvement of care for healthy ageing. Their identification is crucial to developing a specific research prioritisation agenda supporting progress at the micro (clinical), meso (service delivery) and macro (system) levels. To achieve this, a scoping review was carried out to describe the most significant gaps impeding the improvement of care for healthy ageing.
A scoping review of the literature was conducted according to the Joanna Briggs Institute methodology. The selected articles were analysed to identify topics or areas essential for improving care for healthy ageing but requiring further support from research.
Every type of scientific article, except for randomised controlled trials, was considered of potential interest without restrictions on publication date, type of publication and methodology.
A systematic search (last search: 6 December 2023) was conducted using PubMed, MEDLINE and Scopus.
Overall, 1558 articles were retrieved from the literature. Of these, 310 were finally retained for this work. A total of 1195 research gaps were identified (average: 3.85 per article) and clustered into the 13 primary areas: ageing, care approach, caregivers, health economics, health, interventions, policies, research, settings, training, technology, specific populations and understanding the older person. In particular, research for improving the person-centred approach (n=38), better considering cultural diversities (n=27), implementing integrated care (n=25) and ensuring access to care (n=25) were the most prevalent priorities reported in the literature.
A wide range of factors spanning multiple disciplines, from clinical to policy levels, require special consideration, exploration and resolution. The findings of this scoping review represent an essential step in identifying gaps for developing a research prioritisation agenda to improve care for healthy ageing.
有几个研究空白影响了健康老龄化护理的改善。确定这些空白对于制定特定的研究优先事项议程以支持微观（临床）、中观（服务提供）和宏观（系统）层面的进展至关重要。为此，进行了范围综述，以描述阻碍健康老龄化护理改善的最显著差距。
根据乔安娜·布里格斯研究所的方法进行了文献范围综述。对选定的文章进行分析，以确定对改善健康老龄化护理至关重要但需要进一步研究支持的主题或领域。
除了随机对照试验外，考虑了每一种科学文章类型，对出版日期、出版类型和方法没有限制，都具有潜在的兴趣。
使用 PubMed、MEDLINE 和 Scopus 进行了系统搜索（最后一次搜索：2023 年 12 月 6 日）。
共从文献中检索到 1558 篇文章，其中 310 篇最终纳入本研究。共确定了 1195 个研究空白（平均每篇文章 3.85 个），并聚类为 13 个主要领域：老龄化、护理方法、护理人员、健康经济学、健康、干预措施、政策、研究、环境、培训、技术、特定人群和理解老年人。特别是，改善以人为本的护理方法（n=38）、更好地考虑文化多样性（n=27）、实施综合护理（n=25）和确保护理服务的可及性（n=25）是文献中报告的最常见优先事项。
从临床到政策层面的多个学科都需要特别考虑、探索和解决广泛的因素。本范围综述的结果代表了确定差距以制定研究优先事项议程以改善健康老龄化护理的重要步骤。
