老年人日间护理中心的预防工作：日间护理中心提供者及其利益相关者的观点
Older people's day centres' preventive work: views of day centre providers and their stakeholders.
作者信息
Samsi Kritika, Orellana Katharine
机构信息
NIHR Policy Research Unit in Health & Social Care Workforce, King's College London, London, UK.
出版信息
Int J Qual Stud Health Well-being. 2025 Dec;20(1):2500852. doi: 10.1080/17482631.2025.2500852. Epub 2025 May 13.
PURPOSE
Day centres in England provide important social support to people living in the community. Our study aimed to further understandings of day centres' contribution to health and social care's preventive agenda.
METHODS
After obtaining ethical approval, we conducted qualitative interviews with 10-day centre stakeholders and 9 professional stakeholders, exploring their perceptions of day centres' preventive function. Participants' job roles provide context, while individual characteristics are anonymized.
RESULTS
Thematic analysis identified that day centre staff and volunteer activities to monitor attenders and intervene when needed align with the primary, secondary and tertiary prevention framework. A fourth theme, systemic opportunities, incorporates evidence, joint working and challenges.
CONCLUSIONS
Day centres for older people can be well-placed to contribute to integrated care's prevailing preventive agenda. However, tight budgets and limited joint commissioning practices potentially miss the benefits of anticipatory care day centres may offer to maintaining well-being and preventing deterioration.
目的
英国的日间护理中心为社区居民提供重要的社会支持。我们的研究旨在进一步了解日间护理中心对健康和社会护理预防议程的贡献。
方法
在获得伦理批准后，我们对10位日间护理中心利益相关者和9位专业利益相关者进行了定性访谈，探讨他们对日间护理中心预防功能的看法。参与者的工作角色提供了背景信息，而个人特征则进行了匿名处理。
结果
主题分析表明，日间护理中心工作人员和志愿者监测日间护理中心使用者并在需要时进行干预的活动符合一级、二级和三级预防框架。第四个主题“系统机会”包括证据、联合工作和挑战。
结论
老年人日间护理中心能够很好地为综合护理当前的预防议程做出贡献。然而，预算紧张和有限的联合委托做法可能会错过日间护理中心在维持健康和预防衰退方面可能提供的预期护理的好处。
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