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Care Delivery Approaches and Seniors' Independence

Published online by Cambridge University Press:  29 November 2010

Carol L. McWilliam ,
William L. Diehl-Jones ,
Jeffrey Jutai  and
Saeed Tadrissi
Carol L. McWilliam
Affiliation:
University of Western Ontario
William L. Diehl-Jones
Affiliation:
University of Waterloo
Jeffrey Jutai
Affiliation:
University of Toronto
Saeed Tadrissi
Affiliation:
York University
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Abstract

Fostering independence amongst people over 65 years of age, over 80 per cent of whom have medical conditions, presents many challenges to policy personnel, program planners, and service providers, as physical, social, and psychological dimensions of independence must all be considered. This paper presents a systematic literature review and synthesis of 65 rigorous, comprehensive research papers selected from 238 published studies on care delivery approaches relevant to promoting the independence of older persons. This evidence suggests the merits of exercise and health promotion programs for all seniors, and in-home geriatric health care management and fall prevention programs for frail older persons. Findings also indicate the need for more attention to policy on assistive devices, and the need for more research on the effectiveness of public health programming, on strategies to enhance preventive medical care, and onpsychosocial factors which affect seniors' self-efficacy.

Résumé

Stimuler l'autonomie chez les gens de plus de 65 ans, dont plus de 80 pour cent éprouvent des troubles médicaux, constitue un défi de taille pour le personnel des politiques, les planificateurs de programme et les prestateurs de services, qui doivent prendre en considération les aspects physiques, sociaux et psychologiques de l'autonomie. Cet article présente une analyse bibliographique systématique et une synthèse rigoureuse de 65 rapports de recherche détaillés sélectionnés à partir de 238 études publicées sur les approches de soins favorisant la promotion de l'autonomie des personnes àgées. Cet article témoigne en faveur des programmes d'exercices et de promotion de la santé pour toutes les personnes âgées, ainsi que de la gestion à domicile des soins de santé et des programmes de prévention des chutes pour les aîné(e)s frêles. De plus, les conclusions soulignent l'importance d'accorder plus d'attention aux politiques sur les appareils accessoires fonctionnels et le besoin d'avoir plus de recherches sur l'efficacité des programmes de santé publique, sur les stratégies de promotion de soins médicaux préventifs et sur les facteurs psychosociaux qui influent sur l'auto-efficacité des personnes âgées.

Keywords

Seniors' IndependenceSeniors' Health Care NeedsAutonomie des aîné(e)sbesoins des a^né(e)s en soins de santé
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 19 , Issue S1 , Summer/Été 2000 , pp. 101 - 124
Copyright
Copyright © Canadian Association on Gerontology 2000

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