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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Making a difference through integrated community care for older people
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Making a difference through integrated community care for older people

机译：通过对老年人的综合社区护理而有所作为

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Aim. To promote early intervention though better co-ordination and integration of services so as to meet the holistic and often complex needs of older people with co morbid chronic health conditions.Background. Australia's population is ageing, hence there is an urgent need to develop appropriate community based health models that meet the needs of older people, and integrate services to keep older people with chronic illness in optimal health and at home.Model development. Integrated Community Care for Older People (ICCOP) is a systematically integrated model of care piloted in Adelaide, South Australia. The model was developed in partnership between a community nursing organisation, a division of General Practice and a large public hospital.Findings. The ICCOP model has demonstrated efficacy in keeping older people healthy at home, demonstrating a 51% reduction in unplanned Emergency Department presentations and hospital admissions and a 37% reduction in total bed days for the ICCOP clients.Conclusion. Services like ICCOP are currently not reflected in health policy or funding models, despite the increase in packaged community care over the past, decade. The need to formalise these models in both policy and practice is urgent if Australia is to respond to the ageing population, particularly with the anticipated peak in person's aged over 85 years in 2012.
机译：目标。通过更好的协调和服务整合来促进早期干预，从而满足患有慢性合并症的老年人的整体需求，并且通常是复杂的需求。澳大利亚人口正在老龄化，因此迫切需要开发适当的基于社区的健康模型来满足老年人的需求，并整合服务以使患有慢性病的老年人保持最佳健康并在家中进行模型开发。老年人综合社区护理（ICCOP）是在南澳大利亚州阿德莱德试行的系统性综合护理模式。该模型是由社区护理组织，普通科和大型公立医院合作开发的。 ICCOP模型已证明可以有效地保持老年人在家中的健康，这表明ICCOP客户的计划外急诊报告和住院次数减少了51％，总床位时间减少了37％。尽管过去十年来社区一揽子服务有所增加，但ICCOP等服务目前仍未反映在卫生政策或筹资模式中。如果澳大利亚要应对人口老龄化问题，那么在政策和实践中都必须对这些模型进行正规化，这一迫在眉睫，尤其是在2012年，预计85岁以上的老年人口将达到峰值。

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