Caregiving in Asia: Priority areas for research, policy, and practice to support family caregivers

IF 3.3 Health Care Science Pub Date : 2024-12-18 DOI:10.1002/hcs2.124
Nan Jiang, Bei Wu, Yan Li
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Abstract

Population aging presents a growing societal challenge and imposes a heavy burden on the healthcare system in many Asian countries. Given the limited availability of formal long-term care (LTC) facilities and personnel, family caregivers play a vital role in providing care for the increasing population of older adults. While awareness of the challenges faced by caregivers is rising, discussions often remain within academic circles, resulting in the lived experiences, well-being, and needs of family caregivers being frequently overlooked. In this review, we identify four key priority areas to advance research, practice, and policy related to family caregivers in Asia: (1) Emphasizing family caregivers as sociocultural navigators in the healthcare system; (2) addressing the mental and physical health needs of family caregivers; (3) recognizing the diverse caregiving experiences across different cultural backgrounds, socioeconomic status, and countries of residence; and (4) strengthening policy support for family caregivers. Our review also identifies deficiencies in institutional LTC and underscores the importance of providing training and empowerment to caregivers. Policymakers, practitioners, and researchers interested in supporting family caregivers should prioritize these key areas to tackle the challenge of population aging in Asian countries. Cross-country knowledge exchange and capacity development are crucial for better serving both the aging population and their caregivers.

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亚洲的照护:支持家庭照护者的研究、政策和实践的优先领域。
在许多亚洲国家,人口老龄化是一个日益严峻的社会挑战,给医疗保健系统带来了沉重的负担。由于正规长期照护设施和人员有限,家庭照护者在为日益增多的老年人提供照护方面发挥着至关重要的作用。虽然对照顾者面临的挑战的认识正在提高,但讨论往往停留在学术界,导致家庭照顾者的生活经历、福祉和需求经常被忽视。在这篇综述中,我们确定了四个关键的优先领域,以推进与亚洲家庭照顾者相关的研究、实践和政策:(1)强调家庭照顾者在医疗保健系统中的社会文化导航;(2)满足家庭照顾者的身心健康需求;(3)认识到不同文化背景、社会经济地位和居住国的护理经验差异;(4)加强对家庭照顾者的政策支持。我们的综述还指出了机构LTC的不足之处,并强调了向护理人员提供培训和授权的重要性。政策制定者、从业者和研究人员对支持家庭照顾者感兴趣,应优先考虑这些关键领域,以应对亚洲国家人口老龄化的挑战。跨国知识交流和能力发展对于更好地为老龄化人口及其照顾者服务至关重要。
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