Equitable implementation of innovations to promote successful aging in place

作者：Allison M. Gustavson, Jennifer L. Vincenzo, Matthew J. Miller, Jason R. Falvey, Jessica L. Lee, Shekinah Fashaw‐Walters, Lisa Juckett · 发表于：Journal of the American Geriatrics Society · 年份：2022 · DOI：10.1111/jgs.18177 · 被引用次数：18 · 研究领域：Health Policy Implementation Science、Innovative Approaches in Technology and Social Development、Community Health and Development

The United States population is growing older and more racially diverse. In 2015, Black, Indigenous, and other persons of color comprised 22% of the older adult population, and by 2060, this is expected to rise to 43%.1 Thus, hospital and public health systems, surrounding communities, policymakers, and society will grapple with how to manage a growing and diversifying aging population requiring more complex and costly care for social, mental, and physical needs.2 Meeting these needs is essential to allowing older adults to achieve outcomes most meaningful to them. Among the most important outcomes for older adults are maintaining functional independence, social participation, and community living—collectively termed “Aging-in-Place.” Successful Aging-in-Place honors older adults' preferences for how they receive services, participate in care, and are included and respected in the home and community.3 To optimize Aging-in-Place, researchers have developed and tested aging innovations designed to enhance care for older adults, with delayed institutionalization as a distal outcome and Aging-in-Place as a long-term vision.4 Many aging innovations have undergone rigorous empirical testing for effectiveness in improving aging-related outcomes. Emerging attention in the field has prompted researchers to develop or adapt innovations to comprehensively and equitably address the needs, strengths, and preferences of racially and ethnically marginalized populations.5-7 However, even evi...