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B10:我们如何才能建立老年友好型医疗卫生体系?.pdf

上传人: 彩旗 编号:1158695 2026-03-02 38页 6.80MB

1、Classified as ConfidentialAge-Friendly Health Systems is an initiative of The John A.Hartford Foundation and the Institute for Healthcare Improvement(IHI)in partnership with the American Hospital Association(AHA)and the Catholic Health Association of the United States(CHA).B10:How Can We Deliver Age

2、-Friendly Care in our Health SystemsSusan Hannah,Senior DirectorKellyAnne Johnson,Senior DirectorChristina Southey,Improvement Advisor March 26,2025Classified as ConfidentialOrigin of the 4Ms of Age-Friendly CareEarly results from the MovementWhat it means to practice 4Ms careHow to get startedAgend

3、a Classified as ConfidentialOur MissionBuild a movement so all care with older adults is equitable and age-friendly:Guided by an essential set of evidence-based practices(4Ms)and is consistent with What Matters to the older adult and their family.A movement of The John A.Hartford Foundation,IHI,the

4、American Hospital Association,and Catholic Health Association of the United StatesClassified as ConfidentialDemographic Changes across Europe:?Lower birth rate?2020 avg number of childbirths per woman down to 1.5(below 2.1 needed for stable population).?Growing senior population?By 2050 the share of

5、 people over 65 will be 30%(compare to 20%today).?Living longer?Following COVID-19 life expectancy bounced back to 82.8 for women and 77.2 for men.Celebrate and Prepare for People Living Longer LivesSource:European Commission,Impact of Demographic Change in Europe,2024.Classified as ConfidentialOlde

6、r Adults Strengthen our CommunitiesClassified as ConfidentialBackground:Evidence-Based Care Not Reliably AppliedWe have lots of evidence-based geriatric-care models that have proven effectiveYet,most reach only a portion of those who could benefit Difficult to disseminate and scale Difficult to repr

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1. **背景与目标**:Age-Friendly Health Systems由约翰·哈特福德基金会、IHI、美国医院协会等发起,旨在通过4Ms(What Matters、Medication、Mentation、Mobility)实践,为老年人提供公平、循证的照护。 2. **核心数据**:全球超530万老年人接受4Ms照护,覆盖60余国;仅8.7%的老年人获得循证老年护理模型(2016年)。 3. **4Ms框架**:基于17个有效模型提炼,简化实施负担,组件协同增效;两层级认证(如医院、护理院)。 4. **实施成效**:采用4Ms的老年患者出院后30天内住院天数显著减少;84%系统指定AFHS负责人,68%设立跨角色倡导者。 5. **资源与扩展**:提供PDSA循环、My Health Checklist等工具,推动全球公平照护(如按REaL、SDoH分层数据)。
4Ms是什么? 如何降低跌倒风险? 老年护理如何更友好?
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