Jiang Nan, Wu Bei, Li Yan
Institute for Hospital Management, Tsinghua Medicine Tsinghua University Beijing China.
Beijing Tsinghua Changgung Hospital Tsinghua University Beijing China.
Health Care Sci. 2024 Dec 18;3(6):374-382. doi: 10.1002/hcs2.124. eCollection 2024 Dec.
Population aging presents a growing societal challenge and imposes a heavy burden on the healthcare system in many Asian countries. Given the limited availability of formal long-term care (LTC) facilities and personnel, family caregivers play a vital role in providing care for the increasing population of older adults. While awareness of the challenges faced by caregivers is rising, discussions often remain within academic circles, resulting in the lived experiences, well-being, and needs of family caregivers being frequently overlooked. In this review, we identify four key priority areas to advance research, practice, and policy related to family caregivers in Asia: (1) Emphasizing family caregivers as sociocultural navigators in the healthcare system; (2) addressing the mental and physical health needs of family caregivers; (3) recognizing the diverse caregiving experiences across different cultural backgrounds, socioeconomic status, and countries of residence; and (4) strengthening policy support for family caregivers. Our review also identifies deficiencies in institutional LTC and underscores the importance of providing training and empowerment to caregivers. Policymakers, practitioners, and researchers interested in supporting family caregivers should prioritize these key areas to tackle the challenge of population aging in Asian countries. Cross-country knowledge exchange and capacity development are crucial for better serving both the aging population and their caregivers.
人口老龄化给社会带来了日益严峻的挑战,并给许多亚洲国家的医疗保健系统造成了沉重负担。鉴于正规长期护理(LTC)设施和人员的供应有限,家庭护理人员在为日益增多的老年人提供护理方面发挥着至关重要的作用。尽管人们对护理人员所面临挑战的认识在不断提高,但相关讨论往往仍局限于学术圈子,导致家庭护理人员的生活经历、福祉和需求常常被忽视。在本综述中,我们确定了四个关键优先领域,以推进与亚洲家庭护理人员相关的研究、实践和政策:(1)将家庭护理人员视为医疗保健系统中的社会文化导航者;(2)满足家庭护理人员的身心健康需求;(3)认识到不同文化背景、社会经济地位和居住国家的多样化护理经历;(4)加强对家庭护理人员的政策支持。我们的综述还指出了机构长期护理方面的不足,并强调了为护理人员提供培训和赋权的重要性。对支持家庭护理人员感兴趣的政策制定者、从业者和研究人员应优先考虑这些关键领域,以应对亚洲国家的人口老龄化挑战。跨国知识交流和能力发展对于更好地服务老年人口及其护理人员至关重要。