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Social capital, health, health behavior, and utilization of healthcare services among older adults: A conceptual framework

机译:年龄较大的成人中医疗服务的社会资本,健康,健康行为和利用:概念框架

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Abstract Meeting the health needs of Americans must change as the population continues to live longer. A strategy that considers social well‐being is necessary. One way to improve social well‐being is through increased social capital, which includes networks among individuals and norms of reciprocity and trust between them. Supporting attainment of bonding social capital from close‐knit groups, such as family, and bridging or linking social capital from those who are dissimilar are vital. Research shows there is a relationship among social capital and self‐reported mental and physical health, health behaviors, healthcare utilization, and mortality. Because older adults are often dependent on others for their healthcare needs, it is posited that social capital plays a key role. Nurses can be instrumental in investigating levels of social capital for individuals and determining what type of social support is needed and who in the individual's network will provide that support. When support is absent, the nurse serves as the link between patients and available resources. The purpose of this article is to introduce a conceptual framework that can assist nurses and other healthcare providers to consider social capital in older adults in the context of relationships and the social environments to which they belong.
机译:摘要满足美国人的健康需求必须随着人口持续更长时间而变化。考虑社会福祉的战略是必要的。改善社会福祉的一种方法是通过增加社会资本,其中包括个人的网络和互惠之间的规范和他们之间的信任。支持获得粘接社会资本的封闭群体,如家庭,桥接或将社会资本与那些不同的人互动至关重要。研究表明,社会资本和自我报告的精神和身体健康,健康行为,医疗保健利用和死亡率之间存在关系。由于老年人往往依赖他人的医疗保健需求,因此受到社会资本发挥关键作用的影响。护士可以在调查个人的社会资本水平方面有助于,并确定需要什么类型的社会支持,在个人网络中将提供支持。当支持不存在时,护士用作患者与可用资源之间的联系。本文的目的是介绍一个概念框架,可以帮助护士和其他医疗保健提供商在人际关系中考虑老年人的社会资本和他们所属的社会环境。

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