A systematic review of typologies on aged care system components to facilitate complex comparisons.

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2024-05-01 Epub Date: 2023-05-29 DOI:10.1177/09514848231179176

Jenni Suen, Suzanne Dyer, Wendy Shulver, Tyler Ross, Maria Crotty

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Abstract

Objectives: Typologies are frequently utilised in analyses of the quality, funding, and efficiency of aged care systems. This review aims to provide a comprehensive resource identifying and critiquing existing aged care typologies. Methods: Systematic search of MEDLINE, Econlit, Google Scholar, greylit.org and Open Grey databases from inception to July 2020, including typologies of national, regional or provider aged care systems. Article screening, data extraction, and quality appraisal were conducted in duplicate. Results: 14 aged care typologies were identified; five applied to residential care, two to home care and seven to mixed settings; eight examined national systems and seven regional or provider systems. Five typologies classifying national financing or home care services, provider financing of staff and services and quality of residential care were considered high quality. The schematic provided summarises the focus area and aids in typology selection. Discussion: The aged care typologies identified cover a wide range of areas and contexts of aged care provision. This schematic, summary and critique will aid researchers, providers, and aged care policy makers to examine their own setting, compare it to other approaches to aged care provision and assist in identifying alternatives and important considerations, when undertaking aged care reform.

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对老年护理系统各组成部分的类型进行系统审查，以便于进行复杂的比较。

目的：在分析老年护理系统的质量、资金和效率时，经常会用到类型学。本综述旨在提供一份综合资料，对现有的老年护理类型进行识别和批评。方法：系统检索 MEDLINE、Econlit、Google Scholar、greylit.org 和 Open Grey 数据库（从开始到 2020 年 7 月），包括国家、地区或提供方老年护理系统的类型。文章筛选、数据提取和质量评估一式两份。结果确定了 14 种老年护理类型；其中 5 种适用于寄宿护理，2 种适用于家庭护理，7 种适用于混合环境；8 种研究了国家系统，7 种研究了地区或提供者系统。五种类型对国家资助或家庭护理服务、提供者对员工和服务的资助以及寄宿护理的质量进行了分类，被认为是高质量的。所提供的示意图概括了重点领域并有助于类型选择。讨论：所确定的老年护理类型涵盖了老年护理提供的广泛领域和背景。本示意图、总结和评论将帮助研究人员、提供者和老年护理政策制定者审视自身的环境，将其与其他老年护理提供方法进行比较，并在进行老年护理改革时帮助确定替代方案和重要考虑因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Services Management Research HEALTH POLICY & SERVICES-

CiteScore

4.00

自引率

4.80%

发文量

期刊介绍： Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.