Semyonov-Tal Keren, Davidov Eldad
Institute of Sociology and Social Psychology, University of Cologne, Cologne, Germany.
Department of Labor Studies, Tel Aviv University, Tel-Aviv, Israel.
Isr J Health Policy Res. 2025 Jul 23;14(1):46. doi: 10.1186/s13584-025-00709-0.
The growing recognition of the importance of family involvement in geriatric healthcare underscores the need to examine how regulatory frameworks, such as health regulations, shape family involvement in hospital care. The study’s objectives are twofold. First, it aims to examine how health regulations shape family involvement in geriatric care. Second, the study highlights areas where policies can be adjusted to foster greater family participation.
We conducted a qualitative analysis of over 150 regulations related to geriatric care in Israel, focusing on how these regulations facilitate family participation as an organizational goal that could either support or hinder family involvement in the care process.
Our findings reveal that various government documents largely promote and encourage family involvement to foster a more responsive and effective healthcare system. We identified several key aspects of family participation in geriatric treatment, including information sharing and communication, care planning and decision-making, advocacy, and emotional and social support. This study makes two primary contributions. First, it provides a detailed examination of how regulations strengthen the role of families in the geriatric healthcare environment, thereby reducing organizational overload and enhancing patients’ well-being. Second, it highlights the need for legal reform to better incorporate and integrate family involvement in geriatric care, addressing contradictions between real-world practices and regulatory frameworks to meet the evolving needs of the older population.
The study offers insights for policymakers and healthcare providers seeking to develop regulatory frameworks that enhance family involvement in geriatric healthcare.
人们越来越认识到家庭参与老年医疗保健的重要性，这凸显了审视诸如卫生法规等监管框架如何塑造家庭在医院护理中的参与情况的必要性。该研究有两个目标。第一，旨在研究卫生法规如何塑造家庭在老年护理中的参与情况。第二，该研究突出了可调整政策以促进家庭更多参与的领域。
我们对以色列150多项与老年护理相关的法规进行了定性分析，重点关注这些法规如何将促进家庭参与作为一个组织目标，这一目标可能支持或阻碍家庭参与护理过程。
我们的研究结果表明，各种政府文件在很大程度上促进和鼓励家庭参与，以建立一个更具响应性和有效性的医疗保健系统。我们确定了家庭参与老年治疗的几个关键方面，包括信息共享与沟通、护理规划与决策、宣传以及情感和社会支持。本研究有两个主要贡献。第一，它详细研究了法规如何加强家庭在老年医疗保健环境中的作用，从而减轻组织负担并提高患者的幸福感。第二，它强调了法律改革的必要性，以便更好地将家庭参与纳入并整合到老年护理中，解决实际做法与监管框架之间的矛盾，以满足老年人口不断变化的需求。
该研究为寻求制定加强家庭参与老年医疗保健监管框架的政策制定者和医疗服务提供者提供了见解。
