Socio-Healthcare for Older People in the Mediterranean Basin: An Integrative Review and Quality Appraisal.

elderly population integrated care person‐centered care public health socio‐healthcare practices

Journal

Public health nursing (Boston, Mass.)
ISSN: 1525-1446
Titre abrégé: Public Health Nurs
Pays: United States
ID NLM: 8501498

Informations de publication

Date de publication:
15 Oct 2024
Historique:
revised: 24 08 2024
received: 02 10 2023
accepted: 30 09 2024
medline: 15 10 2024
pubmed: 15 10 2024
entrez: 15 10 2024
Statut: aheadofprint

Résumé

The aging Mediterranean Basin population presents complex challenges for healthcare systems, which require innovative care approaches. The study aimed to critically assess 19 socio-healthcare practices in the Mediterranean Basin that target the elderly population by analyzing their theoretical foundations, integration of care services, ethical considerations, gender-specific approaches, and use of technology. An integrative literature review was conducted using a structured methodology. Diverse sources across multiple languages were searched, with the inclusion criteria focusing on the alignment of socio-healthcare practices with the components of the nursing metaparadigm, the incorporation of transversal values, and relevance to the elderly population. The socio-healthcare practices exhibited common themes, such as person-centered care, interdisciplinary collaboration, and incorporation of technology for coordinated care delivery. Ethical principles of autonomy, dignity, and respect were central, with some socio-healthcare practices addressing gender-specific care needs. Evidence-based findings emphasized holistic care, integration, ethics, and innovation in elderly socio-healthcare. New eldercare frameworks should integrate these aspects, which offer a comprehensive approach to addressing the complex needs of elderly patients. Managers should design systems prioritizing patient well-being, whereas policymakers should develop equitable and high-quality care policies that collectively improve the well-being of the elderly population in the Mediterranean Basin.

Identifiants

pubmed: 39404454
doi: 10.1111/phn.13453
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : TEC-MED Project
ID : A_A.3.2_0376

Informations de copyright

© 2024 The Author(s). Public Health Nursing published by Wiley Periodicals LLC.

Références

Ageing Lab Foundation. 2020. Activity Report. https://ageinglab.org/vivemug/2020/03/Memoria.pdf.
Alonso Morán, E., A. Alday Jurado, E. Gutierrez Fraile, et al. 2014. “A Holistic and Person‐Centered Approach to Telecare: Socio‐Health Collaboration.” International Journal of Integrated Care 14, no. 8. https://doi.org/10.5334/ijic.1744.
Bahramnezhad, F., M. Shiri, P. Asgari, and P. F. Afshar. 2015. “A Review of the Nursing Paradigm.” Open Journal of Nursing 05, no. 01: 17–23. https://doi.org/10.4236/ojn.2015.51003.
Borgermans, L., and D. Devroey. 2017. “A Policy Guide on Integrated Care (PGIC): Lessons Learned From EU Project INTEGRATE and Beyond.” International Journal of Integrated Care 17, no. 4: 8. https://doi.org/10.5334/ijic.3295.
Brañas, F., A. Azcoaga, M. García Ontiveros, and A. Antela. 2018. “Chronicity, Ageing and Multimorbidity.” Enfermedades Infecciosas y Microbiologia Clinica 36, no. Suppl 1: 15–18. https://doi.org/10.1016/S0213‐005X(18)30241‐6.
Braveman, P., S. Egerter, and D. R. Williams. 2011. “The Social Determinants of Health: Coming of Age.” Annual Review of Public Health 32: 381–398. https://doi.org/10.1146/annurev‐publhealth‐031210‐101218.
Broome, M. E. 2000. “Integrative Literature Reviews for the Development of Concepts.” In Concept Development in Nursing: Foundations, Techniques and Applications, edited by B. L. Rodgers, and K. A. Knafl, 231–250. Philadelphia: W. B. Saunders Company.
Butler‐Jones, D. 2012. “Addressing the Social Determinants of Health.” Healthcare Management Forum 25, no. 3: 130–133. https://doi.org/10.1177/084047041202500303.
Buurtzorg. 2023. Buurtzorg: Humanity Over Bureaucracy. https://www.buurtzorg.com/about‐us/.
Cash‐Gibson, L., and M. Rosenmoller. 2014. “Project INTEGRATE‐A Common Methodological Approach to Understand Integrated Health Care in Europe.” International Journal of Integrated Care 14, no. 15: e035. http://www.ijic.org/.
Chae, D., J. Kim, S. Kim, J. Lee, and S. Park. 2020. “Effectiveness of Cultural Competence Educational Interventions on Health Professionals and Patient Outcomes: a Systematic Review.” Japan Journal of Nursing Science 17, no. 3: e12326. https://doi.org/10.1111/jjns.12326.
Clark, L. 2017. “Health Disparities and Social Determinants of Health Among the Elderly.” Journal of Cultural Diversity 24, no. 4: 118–125.
Community of Sant'Egidio—Ministry of Health in Italy. 2023. Long Life the Elderly: Comunità di Sant'Egidio. https://www.longlivetheelderly.org/.
Statistical Office of the European Union. 2020. Ageing Europe : Looking at the Lives of Older People in the EU. Edited by L. Corselli‐Nordblad and H. Strandell. European Commission.
Dalsania, A. K., M. J. Fastiggi, A. Kahlam, et al. 2022. “The Relationship Between Social Determinants of Health and Racial Disparities in COVID‐19 Mortality.” Journal of Racial and Ethnic Health Disparities 9, no. 1: 288–295. https://doi.org/10.1007/s40615‐020‐00952‐y.
Dang, D., and S. Dearholt. 2017. “Johns Hopkins Nursing Evidence‐Based Practice: Model and guidelines.” In Indianapolis, United States, 3rd ed., Sigma Theta Tau International.
de Bruin, S. R., A. Stoop, J. Billings, et al. 2018. “The SUSTAIN Project: A European Study on Improving Integrated Care for Older People Living at Home.” International Journal of Integrated Care 18, no. 1: 6. https://doi.org/10.5334/ijic.3090.
Ekman, I., K. Swedberg, C. Taft, et al. 2011. “Person‐Centered Care—Ready for Prime Time.” European Journal of Cardiovascular Nursing 10, no. 4: 248–251. https://doi.org/10.1016/j.ejcnurse.2011.06.008.
Entwistle, V. A., and I. S. Watt. 2013. “Treating Patients as Persons: A Capabilities Approach to Support Delivery of Person‐Centered Care.” American Journal of Bioethics 13, no. 8: 29–39. https://doi.org/10.1080/15265161.2013.802060.
Fawcett, J. 2013. “Analysis and Evaluation of Nursing Theories.” In Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories (p. Cap. 3). Philadelphia: Davis.
Fundación MATIA. 2023. Fundación MATIA. https://www.matiafundazioa.eus/memoria2021/es/index.htm.
Fundación PILARES. 2021. Activity Report. https://www.fundacionpilares.org/wp‐content/uploads/2022/09/Memoria‐Actividades‐2021.pdf.
Gabrielová, J., and M. Veleminsky. 2014. “Interdisciplinary Collaboration Between Medical and Non‐Medical Professions in Health and Social Care.” Neuroendocrinology Letters 35, no. 1: 59–66.
Garben, S. 2019. “The European Pillar of Social Rights: An Assessment of Its Meaning and Significance.” Cambridge Yearbook of European Legal Studies 21: 101–127. https://doi.org/10.1017/cel.2019.3.
Garçon, L., C. Khasnabis, L. Walker, et al. 2016. “Medical and Assistive Health Technology: Meeting the Needs of Aging Populations: Table 1.” Gerontologist 56, no. Suppl. 2: S293–S302. https://doi.org/10.1093/geront/gnw005.
Gottlieb, L., H. Wing, and N. Adler. 2017. “A Systematic Review of Interventions on Patients' Social and Economic Needs.” American Journal of Preventive Medicine 55, no. 55: 719–729.
Grady, C. 2009. “Vulnerability in Research: Individuals With Limited Financial and/or Social Resources.” Journal of Law, Medicine and Ethics 37, no. 1: 19–27.
IDRAAC. 2023. IDRAAC Institute for Development, Research, Advocacy and Applied Cares. https://www.idraac.org/idraac/homepage.
Latif, A. S. 2020. “The Importance of Understanding Social and Cultural Norms in Delivering Quality Health Care—A Personal Experience Commentary.” Tropical Medicine and Infectious Disease 5, no. 1: 22. https://doi.org/10.3390/tropicalmed5010022.
Lawless, M. T., A. Marshall, M. M. Mittinty, and G. Harvey. 2020. “What Does Integrated Care Mean From an Older Person's Perspective? A Scoping Review.” BMJ Open 10, no. 1: e035157. https://doi.org/10.1136/bmjopen‐2019‐035157.
Lebanese Ministry of Interior. 2017. The Lebanese Center for Palliative Care‐ Balsam. https://balsam‐lb.org/who‐we‐are/.
Leichsenring, K. 2004. “Developing Integrated Health and Social Care Services for Older Persons in Europe.” Int J Integr Care 4: e10. https://doi.org/10.5334/ijic.107.
Leichsenring, K., and M. Alaszewski. 2004. Providing Integrated Health Care for Older Persons: A European Overview of Issues at Stake, 1st ed., Ashgate.
Leijten, F., V. Struckmann, E. van Ginneken, T. Czypionka, M. Kraus, and M. Reiss. 2018. “The SELFIE Framework for Integrated Care for Multi‐Morbidity: Development and Description.” Health Policy 122, no. 12: 1–22.
Leininger, M. 2002. “Culture Care Theory: A Major Contribution to Advance Transcultural Nursing Knowledge and Practices.” Journal of Transcultural Nursing 13, no. 3: 189–192.
Lekas, H. M., K. Pahl, and C. Fuller Lewis. 2020. “Rethinking Cultural Competence: Shifting to Cultural Humility.” Health Services Insights 13: 1178632920970580. https://doi.org/10.1177/1178632920970580.
Lette, M., A. Stoop, E. Gadsby, et al. 2020. “Supporting Older People to Live Safely at Home—Findings From Thirteen Case Studies on Integrated Care Across europe.” International Journal of Integrated Care 20, no. 4: 1–13. https://doi.org/10.5334/ijic.5423.
Mace, R. A., M. K. Mattos, and A.‐M. Vranceanu. 2022. “Older Adults Can Use Technology: Why Healthcare Professionals Must Overcome Ageism in Digital Health.” Translational Behavioral Medicine 12, no. 12: 1102–1105. https://doi.org/10.1093/tbm/ibac070.
Mateo‐Abad, M., A. Fullaondo, M. Merino, et al. 2020. “Impact Assessment of an Innovative Integrated Care Model for Older Complex Patients With Multimorbidity: The Carewell Project.” International Journal of Integrated Care 20, no. 2: 8. https://doi.org/10.5334/ijic.4711.
Mateo‐Abad, M., N. González, A. Fullaondo, et al. 2020. “Impact of the CareWell Integrated Care Model for Older Patients With Multimorbidity: A Quasi‐Experimental Controlled Study in the Basque Country.” BMC Health Services Research 20, no. 1: 8. https://doi.org/10.1186/s12913‐020‐05473‐2.
McCormack, B., and T. McCance. 2006. “The Person‐Centred Nursing and Person‐Centred Practice Frameworks: From Conceptual Development to Programmatic Impact.” Journal of Advanced Nursing 56, no. 5: 1–8.
Moo, L. R., and A. W. Schwartz. 2021. “The Urgent Need for Rigorous Studies of Telehealth for Older Adults Who Are Homebound.” JAMA Network Open 4, no. 9: e2113451. https://doi.org/10.1001/jamanetworkopen.2021.13451.
Page, M., J. McKenzie, P. Bossuyt, et al. 2021. “The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews.” BMJ 372: n71. https://doi.org/10.1136/bmj.n71.
Pavlova, M., Y. Skalkidis, W. Groot, A. Sowa, and S. Golinowska. 2017. “A Greek Tragedy of Our Time? Institutional and Financial Dimension of Health Promotion for Older People in Greece.” Zdrowie Publiczne i Zarządzanie 15, no. 1: 62–68. https://doi.org/10.4467/20842627OZ.17.007.6233.
Pender, N. J., C. L. Murdaugh, and M. A. Parsons. 2011. Health Promotion in Nursing Practice. (6th Edition). Boston, MA: Pearson.
Pérez‐Wilson, P., C. Álvarez‐Dardet, M. T. Ruiz Cantero, J. R. Martínez‐Riera, and M. Carrasco‐Portiño. 2020. “Desarrollo del Sentido de Comunidad: Una Propuesta para las universidades promotoras de la Salud.” Global Health Promotion 27, no. 3: 236–239. https://doi.org/10.1177/1757975919859572.
Porcel, A., M. Lima, R. Allande, and E. Fernández. 2019. Development of a Transcultural Social‐Ethical‐Care Model for Dependent Population in Mediterranean Basin. TEC MED. Available at: https://www.enicbcmed.eu/projects/tec‐med.
Porcel‐Gálvez, A. M., B. Badanta, S. Barrientos‐Trigo, and M. Lima‐Serrano. 2021. “Elderly People, Dependency and Vulnerability in the Coronavirus Pandemic: An Emergency for a Social and Health Integration.” Enfermería Clínica 31: S18–S23. https://doi.org/10.1016/j.enfcli.2020.05.004.
Reynolds, J., E. Gadsby, M. Rijken, et al. 2021. “Measuring Older Peoples' Experiences of Person‐Centred Coordinated Care: Experience and Methodological Reflections From Applying a Patient Reported Experience Measure in SUSTAIN.” International Journal of Integrated Care 21, no. 3: 3. https://doi.org/10.5334/ijic.5504.
Rudnicka, E., P. Napierała, A. Podfigurna, B. Męczekalski, R. Smolarczyk, and M. Grymowicz. 2020. “The World Health Organization (WHO) Approach to Healthy Ageing.” Maturitas 139: 6–11. https://doi.org/10.1016/j.maturitas.2020.05.018.
San Juan de Dios. 2021. Activity Report. https://web.sjd.es/sites/default/files/ckfinder/userfiles/files/Memoria%20Servicios%20Sociales%20HSJD%202021.pdf.
SANAD. 2020. SANAD Home Hospice care. https://sanadhospice.org/about/.
Santana, M. J., K. Manalili, R. J. Jolley, S. Zelinsky, H. Quan, and M. Lu. 2018. “How to Practice Person‐Centred Care: A Conceptual Framework.” Health Expectations 21, no. 2: 429–440. https://doi.org/10.1111/hex.12640.
Santos, M. I., M. Lima‐Basto, and N. Researcher. 2014. “A Multiparadigmatic Model for a Holistic Nursing.” International Journal of Caring Sciences 7, no. 3: 781–791. https://www.internationaljournalofcaringsciences.org.
SEKEM Initiative. 2018. SEKEM: Sustainable Development. https://www.sekem.com/en/societal‐life/.
Sharma, T., M. Bamford, and D. Dodman. 2015. “Person‐Centred Care: An Overview of Reviews.” Contemporary Nurse 51, no. 2–3: 107–120. https://doi.org/10.1080/10376178.2016.1150192.
Sharman, A. 2014. “A New Paradigm of Primary Health Care in Kazakhstan: Personalized, Community‐Based, Standardized, and Technology‐Driven.” Central Asian Journal of Global Health 3, no. 1: 186. https://doi.org/10.5195/cajgh.2014.186.
Social Care Wales. 2023. What We Do. https://socialcare.wales/about‐us/what‐we‐do.
Sourtzi, P., V. Roka, V. Velonaki, and A. Kalokerinou. 2008. Health Promotion Programs for the Elderly in Greece, the “Health Pro Elderly” Project. https://doi.org/10.3384/hygiea.1403‐8668.1091385.
Stoop, A., S. R. de Bruin, G. Wistow, et al. 2019. “Exploring Improvement Plans of Fourteen European Integrated Care Sites for Older People With Complex Needs.” Health Policy 123, no. 12: 1135–1154. https://doi.org/10.1016/j.healthpol.2019.09.009.
Stubbe, D. E. 2020. “Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients.” Focus (San Francisco, California) 18, no. 1: 49–51. https://doi.org/10.1176/appi.focus.20190041.
Turkson‐Ocran, R.‐A. N., M. Nkimbeng, D. Erol, D. A. Hwang, A. A. Aryitey, and V. Hughes. 2022. “Strategies for Providing Culturally Sensitive Care to Diverse Populations.” Journal of Christian Nursing 39, no. 1: 16–21. https://doi.org/10.1097/CNJ.0000000000000900.
Unité des Communes Valdôtaines Grand‐Paradis. 2023. Comunitá Montana Grand Paradis: Servizi socio assistenziali. https://www.cm‐grandparadis.vda.it/servizi‐allutenza/servizi‐di‐assistenza‐agli‐anziani‐e‐ai‐disabili/.
Van Kemenade, E., and W. van der Vlegel‐Brouwer. 2019. “Integrated Care: A Definition From the Perspective of the Four Quality Paradigms.” Journal of Integrated Care 27, no. 4: 357–367. https://doi.org/10.1108/JICA‐06‐2019‐0029.
Vinje, H. F., E. Langeland, and T. Bull. 2016. “Aaron Antonovsky's Development of Salutogenesis, 1979 to 1994.” In The Handbook of Salutogenesis, edited by M. B. Mittelmark, S. Sagy, M. Eriksson, et al. Cham (CH): Springer; 2017. Chapter 4. https://www.ncbi.nlm.nih.gov/books/NBK435860/. https://doi.org/10.1007/978‐3‐319‐04600‐6_4.
Vonarx, N. 2017. “Le Corps au Sein de la Discipline Infirmière: Un Incontournable pour Lier Les Quatre Concepts Du Méta‐paradigme Actuel.” Recherche En Soins Infirmiers 127, no. 4: 8–15. https://doi.org/10.3917/rsi.127.0008.
Walsh, K., T. Scharf, and N. Keating. 2017. “Social Exclusion of Older Persons: A Scoping Review and Conceptual Framework.” European Journal of Ageing 14, no. 1: 81–98. https://doi.org/10.1007/s10433‐016‐0398‐8.
Whelan, C. T., R. Layte, and B. Maître. 2002. “Multiple Deprivation and Persistent Poverty in the European Union.” Journal of European Social Policy 12, no. 2: 91–105. https://doi.org/10.1177/0952872002012002101.
Whittemore, R., and K. Knafl. 2005. “The Integrative Review: Updated Methodology.” Journal of Advanced Nursing 52, no. 5: 546–553. https://doi.org/10.1111/j.1365‐2648.2005.03621.x.
World Bank Group. 2023. Takaful and Karama:A Social Safety Net Project That Promotes Egyptian Women Empowerment and Human Capital. https://www.worldbank.org/en/results/2020/11/17/takaful‐and‐karama‐a‐social‐safety‐net‐project‐that‐promotes‐egyptian‐women‐empowerment‐and‐human‐capital.
World Health Organization. 2020. Aging and Health. Health Topics. https://www.who.int/news‐room/fact‐sheets/detail/ageing‐and‐health.

Auteurs

Ana María Porcel-Gálvez (AM)

Department of Nursing, University of Seville, Seville, Spain.

Regina Allande-Cussó (R)

Department of Nursing, University of Seville, Seville, Spain.

Isotta Mac Fadden (IM)

Department of Sociology and Communication, Univesrity of Salamanca, Salamanca, Spain.

Eleni Ferentinou (E)

Department of Medicine, University of Patras, Rion, Patras,, Greece.

Maria Zafiropoulou (M)

Department of Humanities, Social Sciences and Economics, Hellenic Mediterranean University, Crete, Greece.

Marta Lima-Serrano (M)

Department of Nursing, University of Seville, Seville, Spain.

Classifications MeSH