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[衰老中的健康与疾病。医疗保健研究中的不足与展望]

[Health and illness in aging. Deficits and perspectives in health care research].

作者信息

Görres S

机构信息

Fachbereich 11 Universität Bremen.

出版信息

Z Gerontol Geriatr. 1996 Sep-Oct;29(5):375-81.

PMID:9026348
Abstract

The health condition of the aging and the future development of healthy aging are relevant factors for science, health policy planning and practice. Articulate knowledge about epidemiological developments as well as insight into the health and functioning of older persons are prerequisites to determine the required resources to enable a healthy future of this population group. Demands and supplies should be balanced in the context of the available resources and identified deficits in the existing health services. The availability, the variety and quality of social-, nursing- and medical resources determines to a large extent the conditions and perspectives of an older person in case of chronic illness. These resources also influence the effectiveness or barriers in the prevention of disease and the successful planning of rehabilitation. This article presents a critical analysis of the existing health services resources in the context of an inadequate development of gerontological and nursing science research and research infrastructure. This knowledge is needed to assess the anticipated and identified needs of healthy and diseased older persons. In addition, emerging perspectives are described and required demands stated, which are related, among others to the establishment of research institutions, an increasing transfer from science to clinical practice, the realization of these perspectives in healthy policy planning and consequently the innovation of (professional) practice.

摘要

老年人的健康状况以及健康老龄化的未来发展是科学、卫生政策规划与实践的相关因素。明晰流行病学发展情况以及洞察老年人的健康与功能状况,是确定所需资源以实现该人群健康未来的先决条件。在现有资源及已确定的现有卫生服务不足的背景下,需求与供给应达到平衡。社会、护理和医疗资源的可及性、多样性和质量在很大程度上决定了老年人慢性病患者的状况和前景。这些资源还会影响疾病预防的成效或障碍以及康复的成功规划。本文在老年学和护理科学研究及研究基础设施发展不足的背景下,对现有卫生服务资源进行了批判性分析。评估健康和患病老年人的预期需求及已确定需求需要此类知识。此外,还阐述了新出现的观点并提出了相关需求,这些需求尤其涉及研究机构的设立、从科学到临床实践的更多转化、在卫生政策规划中实现这些观点以及相应的(专业)实践创新。

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