PDF(Pubmed)
Abstract：
(1) Background. There is interest in the role community organisations can play to support healthy ageing and the integration of health and social care. This study explored the contribution community organisations can make to this goal through the Leeds (UK) Neighbourhood Networks (LNNs), a novel example of community-based support. (2) Methods. An observational study of 148 LNN beneficiaries compared to the Leeds population aged 64 and over (n = 143,418) using the Leeds Data Model, and an analytical resource developed to support care planning. Measures included demographic characteristics, Electronic Frailty Index (EFI), the number of long-term health conditions (LTCs), and public health management cohort categorisation. (3) Results. LNN\'s are primarily focussed on older people who are fit (44 percent) or experiencing the onset of LTCs (27 percent) and/or mild frailty (41 percent). However, they also support smaller numbers of people with moderate/severe frailty (15 percent) and five or more long-term conditions (19 percent). (4) Conclusions. Community organisations are well placed to support the ambitions of integrated care by providing support for older people with mild to moderate health and care needs. They also have the capacity to support older people with more severe needs if resourced to do so.
摘要：
（1）背景。人们对社区组织在支持健康老龄化以及健康与社会护理一体化方面可以发挥的作用感兴趣。本研究探讨了社区组织可以通过利兹（英国）邻里网络（LNN）为实现这一目标做出的贡献，社区支持的新例子。（2）方法。使用利兹数据模型对148名LNN受益人与64岁及以上的利兹人口（n=143,418）进行的观察性研究，以及为支持护理计划而开发的分析资源。措施包括人口特征，电子脆弱指数(EFI),长期健康状况(LTC)的数量，和公共卫生管理队列分类。（3）结果。LNN主要集中在健康（44％）或经历LTC发作（27％）和/或轻度虚弱（41％）的老年人上。然而,他们还支持少数患有中度/重度虚弱（15％）和五种或更多长期疾病（19％）的人。（4）结论。社区组织处于有利地位，可以通过为有轻度至中度健康和护理需求的老年人提供支持来支持综合护理的雄心。如果有资源，他们也有能力支持需求更严重的老年人。
