目标:全球老年人口的增加,预计到2050年将达到15亿,这对公共资助的医疗保健系统构成了重大挑战。预期寿命,虽然是积极的,导致慢性疾病的增加,需要复杂而昂贵的健康和社会解决方案。本研究探讨了应对这些挑战的关键策略。
方法:定性访谈,然后进行调查。
方法:这项研究涉及专家,学生,人工智能专家,和大会的参与者。
方法:我们首先采访了来自不同国家的5位来自比利时的医疗保健管理和心理学专家,来自加拿大的卫生经济学,法国的社会学,和来自瑞士的老年病学。此外,与医学生进行物理治疗的焦点小组会议以及对ChatGPT的询问增加了观点的范围。所有意见或见解的综合被用来制定具体的战略。这些策略被纳入一项在线调查,该调查分发给蒙特利尔老年和老年学大会的215名参与者,加拿大,2023年9月。
结果:所有20个潜在的解决方案都得到了认可,特别关注以下5个优先事项:迫切需要将老年培训纳入未来卫生专业人员的教育,推广家庭护理模式,建立全面和综合的护理系统,加强初级保健服务,以及对初级预防战略的重视。
结论:本研究强调了解决老年人健康需求的关键优先事项。通过强调教育,以家庭为基础的护理,综合服务和加强初级保健和预防,卫生系统可以有效应对人口老龄化的挑战。虽然这些需求可能没有完全满足,它们指出现有服务不足以提供足够的覆盖面和支持以确保为老年人提供量身定制和可持续的医疗保健解决方案的领域。
OBJECTIVE: The global increase in the older population, which is expected to reach 1.5 billion by 2050, poses significant challenges for publicly funded health care systems. Life expectancy, although positive, is leading to an increase in chronic diseases requiring complex and costly health and social solutions. This study explores key strategies to address these challenges.
METHODS: Qualitative interviews followed by a survey.
METHODS: The study involved experts, students, artificial intelligence, and participants at a congress.
METHODS: We first interviewed 5 experts from different countries representing health care management and psychology from Belgium, health economics from Canada, sociology from France, and geriatrics from Switzerland. In addition, a focus group session with medical students in physical therapy and queries to ChatGPT increased the range of perspectives. A synthesis of all opinions or insights was used to formulate concrete strategies. These strategies were incorporated into an online survey that was distributed to 215 participants of the Geriatric and Gerontologic Congress in Montreal, Canada, in September 2023.
RESULTS: All 20 potential solutions were duly acknowledged, with particular attention paid to the following 5 priorities: the urgent need to integrate geriatric training into the education of future health professionals, the promotion of home-based care models, the establishment of comprehensive and integrated care systems, the strengthening of primary care services, and the emphasis on primary prevention strategies.
CONCLUSIONS: This study highlights key priorities for addressing the health needs of the older population. By emphasizing education, home-based care, and integrated services and strengthening primary care and prevention, health systems can respond effectively to the challenges of an ageing population. Although these needs may not be entirely unmet, they indicate areas where existing services are insufficient in providing adequate coverage and support to ensure tailored and sustainable health care solutions for older people.