|
|
|
| Health promotion policies and practices among the elderly population both domestically and internationally |
| ZHANG Xiaolan, LI Zemei, SHEN Xiaohua
|
| Hangzhou Wuyunshan Hospital (Hangzhou Health Promotion Research Institute), Hangzhou, Zhejiang 310008, China |
|
|
|
|
Abstract Against the backdrop of the accelerating global aging process, enhancing the health of the elderly and improving their quality of life through health promotion efforts has become an urgent social issue. The construction and practical innovation of the elderly health promotion system have become a focal point of public health. This article reviews relevant policies and practical experiences in health promotion for the elderly both domestically and internationally by searching for literature published from January 2000 to January 2025. By comparing and analyzing the practical differences between developed countries/regions and China, it proposed suggestions for building a cross-departmental collaborative service system, innovating health literacy improvement models, implementing mental health promotion projects, and launching nursing talent training programs. These suggestions aim to provide references for improving health promotion work for the elderly in China.
|
|
Received: 23 January 2025
Revised: 03 April 2025
Published: 24 June 2025
|
|
|
|
|
|
[1] HU F B.Diet strategies for promoting healthy aging and longevity:an epidemiological perspective[J].J Intern Med,2024,295(4):508-531.
[2] 中华人民共和国中央人民政府. 2023年度国家老龄事业发展公报[EB/OL].[2025-04-03].https://www.gov.cn/lianbo/bumen/202410/content_6979486.shtml.
[3] 胡秀静,徐越,姚丁铭,等.老年人健康素养与促进策略研究[J].预防医学,2022,34(4):361-365,370.
HU X J,XU Y,YAO D M,et al.Health literacy and promotion strategies among the elderly populations[J].China Prev Med J,2022,34(4):361-365,370.(in Chinese)
[4] 龚秀全,庄晨.中国老年人失能趋势与健康促进策略研究—基于年龄-时期-队列的视角[J].人口与经济,2024(5):36-50.
GONG X Q,ZHUANG C.Disability trends and health promotion strategies of the elderly in China:based on the age-period-cohort model[J].Popul & Econo,2024(5):36-50.(in Chinese)
[5] CERULLO G,FIGUEIREDO T,COELHO C,et al.Palliative care in the ageing European population:a cross-country comparison[J].Int J Environ Res Public Health,2024,21(1):113-135.
[6] U.S.Department of Health and Human Services.Healthy people2030:older adults[EB/OL].[2025-04-03].https://health.gov/healthypeople/objectives-and-data/browse-objectives/older-adults.
[7] SZCZEPURA A,MASAKI H,WILD D,et al.Integrated long-term care 'Neighbourhoods' to support older populations:evolving strategies in Japan and England[J].Int J Environ Res Public Health,2023,20(14):6352-6364.
[8] 中华人民共和国中央人民政府.中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].[2025-04-03].https://www.gov.cn/zhengce/2016-10/25/content_5124174.shtml.
[9] 中华人民共和国中央人民政府.中共中央国务院印发《国家积极应对人口老龄化中长期规划》[EB/OL].[2025-04-03].https://www.gov.cn/zhengce/2019-11/21/content_5454347.shtml.
[10] 段蒋文,金启韬,仝振东.2015—2023年舟山市居民健康素养分析[J].预防医学,2024,36(10):905-909.
DUAN J W,JIN Q T,TONG Z D.Health literacy among residents in Zhoushan City from 2015 to 2023[J].China Prev Med J,2024,36(10):905-909.(in Chinese)
[11] HERBIG F.Coping ageing population and long term care in European countries:ethical considerations on justice in health care with regard to digitalisation,health care policies and resource management[J].Dilemata,2020,32:37-47.
[12] SICILIANI L,WILD C,MCKEE M,et al.Strengthening vaccination programmes and health systems in the European Union:a framework for action[J].Health Policy,2020,124(5):511-518.
[13] HAYES C,MANNING M,CONDON B,et al.Effectiveness of community-based multidisciplinary integrated care for older people:a protocol for a systematic review[J/OL].BMJ Open,2022,12(11)[2025-04-03].https://doi.org/10.1136/bmjopen-2022-063454.
[14] COHEN I G,EVGENIOU T,GERKE S,et al.The European artificial intelligence strategy:implications and challenges for digital health[J].Lancet Digital Health,2020,2(7):376-379.
[15] SANTANA S,BRACH C,HARRIS L,et al.Updating health literacy for healthy people 2030:defining its importance for a new decade in public health[J].J Public Health Manag Pract,2021,27(Suppl 6):258-264.
[16] BATEN R B A,WEHBY G L.Effects of the affordable care act insurance expansions on health care coverage,access,and health status of 50-64-year-old adults:evidence from the first six years[J].J Appl Gerontol,2023,42(8):1717-1726.
[17] BUTLER M J,DAVIDSON K W,SULS J.The National Institute on Aging Edward R. Roybal Centers:past,present,and future of research to foster healthy aging[J].J Am Geriatr Soc,2024,72(5):1590-1594.
[18] SUZUKI T.Health status of older adults living in the community in Japan:recent changes and significance in the super-aged society[J].Geriatr Gerontol Int,2018,18(5):667-677.
[19] SHIMADA T,SUZUKI Y,YADA Y,et al.Community-based integrated care units:intermediate care units for older adults in Japan[J].J Am Med Dir Assoc,2021,22(8):1774-1775.
[20] KOKUBUN K,OGAWA T,BROWNE R,et al.Social capital mediates the association between the ICT usage and well-being of older people in Japan:implication for a new design paradigm[J].Sustainability,2022,14(7):4148-4167.
[21] 中华人民共和国中央人民政府.国务院关于印发“十三五”国家老龄事业发展和养老体系建设规划的通知[EB/OL].[2025-04-03].https://www.gov.cn/zhengce/content/2017-03/06/content_5173930.shtml.
[22] 中华人民共和国中央人民政府.卫生健康委发展改革委教育部民政部财政部人力资源社会保障部医保局中医药局关于建立完善老年健康服务体系的指导意见[EB/OL].[2025-04-03].https://www.gov.cn/gongbao/content/2020/content_5483907.htm.
[23] 林沅锜,许军,薛允莲,等.我国老年人口健康状况与健康促进的现状及对策研究[J].中国医药导报,2018,15(20):152-155.
LIN Y Q,XU J,XUE Y L,et al.Study on the health status and health promotion measures of the elderly people in China[J].China Med Her,2018,15(20):152-155.(in Chinese)
[24] 中华人民共和国国家卫生健康委员会.《“十四五”健康老龄化规划》解读[EB/OL].[2025-04-03].http://www.nhc.gov.cn/lljks/pqt/202203/b6fc49ddf06349aca697536e5321e7ed.shtml.
[25] 中华人民共和国国家卫生健康委员会.国家卫生健康委推进老年人失能(失智)预防干预试点[EB/OL].[2025-04-03].http://www.nhc.gov.cn/lljks/s7786/202104/c330604949a5447b9bf377b24537ed1c.shtml.
[26] 中华人民共和国国家卫生健康委员会办公厅.国家卫生健康委办公厅关于印发老年医学科建设与管理指南(试行)的通知[EB/OL].[2025-04-03].https://www.gov.cn/xinwen/2019-12/08/content_5459446.htm.
[27] 中共中央国务院.中共中央国务院关于加强新时代老龄工作的意见[EB/OL].[2025-04-03].https://www.gov.cn/zhengce/2021-11/24/content_5653181.htm.
[28] 俞建良.老年人家庭适老化改造持续推进[N].学习时报,2024-03-04(A7).
YU J L.The adaptation of elderly people's homes to meet their needs is continuously advancing[N].STUDY TIMES,2024-03-04(A7).(in Chinese)
[29] 国务院办公厅.国务院办公厅印发关于切实解决老年人运用智能技术困难实施方案的通知[EB/OL].[2025-04-03].https://www.gov.cn/zhengce/content/2020-11/24/content_5563804.htm.
[30] 中华人民共和国中央人民政府.国务院关于印发“十四五”国家老龄事业发展和养老服务体系规划的通知[EB/OL].[2025-04-03].https://www.gov.cn/gongbao/content/2022/content_5678066.shtml.
[31] 谢坤,王萱萱,李思清,等.我国农村医生社区健康管理能力调查研究[J].中国全科医学,2024,27(34):4308-4314,4321.
XIE K,WANG X X,LI S Q,et al.Investigation on community health management ability of rural doctors in China[J].Chin Gen Pract,2024,27(34):4308-4314,4321.(in Chinese)
[32] 徼晓菲,李英华,李莉,等.2018—2022年我国60~69岁老年人健康素养水平分析[J].中国健康教育,2024,40(6):513-517,524.
JIAO X F,LI Y H,LI L,et al.Analysis on health literacy levels among Chinese elderly aged 60-69 years old,2018-2022[J].Chin J Health Educ,2024,40(6):513-517,524.(in Chinese)
[33] 李秋莎,赵兹旋,宋佳,等.流动老年慢病患者健康管理服务利用现状及影响因素研究——基于城乡差异的比较分析[J].中国卫生统计,2023,40(6):832-835.
LI Q S,ZHAO Z X,SONG J,et al.Study on the utilization status and influencing factors of health management services for floating elderly population with chronic diseases:a comparative analysis based on the differences between urban and rural areas[J].Chin J Health Stat,2023,40(6):832-835.(in Chinese)
[34] 侯锐,隗瑛琦,方凯,等.老年人群健康素养促进策略研究进展[J].预防医学,2025,37(2):154-157.
HOU R,WEI Y Q,FANG K,et al.Health literacy promotion strategies for the elderly:a review[J].China Prev Med J,2025,37(2):154-157.(in Chinese)
[35] 赵娜,赖华.中国老年人心理健康水平变迁的横断历史研究:1993—2016[J].心理研究,2020,13(3):236-244.
ZHAO N,LAI H.Changes in older's mental health:a cross-temporal meta-analysis[J].Psychol Res,2020,13(3):236-244.(in Chinese)
[36] 朱正杰,施正丽,张浩,等.我国老年人社会参与情况及其与认知障碍的关系[J].医学与社会,2023,36(12):53-58.
ZHU Z J,SHI Z L,ZHANG H,et al.Status of social participation and its relationship with cognitive impairment among the elderly in China[J].Med Soc,2023,36(12):53-58.(in Chinese)
[37] 白慧,于洪杰,郝习君,等.社会参与在城市退休老年人心理健康与健康自评间的中介作用[J].上海护理,2024,24(3):41-44.
BAI H,YU H J,HAO X J,et al.Mediating effect of social participation on the relationship between mental health and self-rated health among urban elderly retirees[J].Shanghai Nurs,2024,24(3):41-44.(in Chinese)
[38] 刘影,姜俊丞,景汇泉.我国东、中、西部地区中老年人失能及其影响因素的区域差异研究[J].中国全科医学,2024,27(7):877-885,892.
LIU Y,JIANG J C,JING H Q.Regional differences in disability and its influencing factors among middle-aged and elderly people in east,central and west major regions in China[J].Chin Gen Pract,2024,27(7):877-885,892.(in Chinese)
[39] 李建伟,吉文桥,钱诚.我国人口深度老龄化与老年照护服务需求发展趋势[J].改革,2022,(2):1-21.
LI J W,JI W Q,QIAN C.The development trend of China's deep aging and demand for elderly care services[J].Reform,2022,(2):1-21.(in Chinese)
[40] 史珈铭,刘晓婷.老年人社区康复服务需求及其影响因素[J].中国康复理论与实践,2021,27(3):334-340.
SHI J M,LIU X T.Demands and determinants of community rehabilitation services for older adults[J].Chin J Rehabil Theory Pract,2021,27(3):334-340.(in Chinese)
[41] 安然,唐昕,齐士格,等.社区老年人照护需求现状及影响因素研究:基于三省的基线调查[J].中国全科医学,2025,28(1):59-64.
AN R,TANG X,QI S G,et al.The prevalence and influencing factors of care need among community-dwelling older people in three provinces of China[J].Chin Gen Pract,2025,28(1):59-64.(in Chinese) |
|
|
|
