AbstractBackgroundOlder persons are

Abstract
Background
Older persons are often poorly served by existing models of community-based primary health care (CBPHC). We sought input from clients, informal caregivers, and health care providers on recommendations for system improvements.
Methods
Focus group interviews were held with clients, informal caregivers, and health care providers in mid-sized urban and rural communities in Ontario. Data were analyzed using a combination of directed and emergent coding. Results were shared with participants during a series of feedback sessions.
Results
An extensive list of barriers, facilitators, and recommended health system improvements was generated. Barriers included poor system integration and limited access to services. Identified facilitators were person and family-focused care, self-management resources, and successful collaborative practice. Recommended system improvements included expanding and integrating care teams, supports for system navigation, and development of standardized information systems and care pathways.
Conclusions
Older adults still experience frustrating obstacles when trying to access CBPHC. Identified barriers and facilitators of improved system integration aligned well with current literature and Wagner’s Chronic Care Model. Additional work is needed to implement the recommended improvements and to discern their impact on patient and system outcomes.

結果 (中文) 1:

摘要背景老年人往往较低，出任现有的基于社区的初级卫生保健 （CBPHC） 模型。我们征求客户端、 非正规护理人员和卫生保健提供者的系统改进的建议的意见。方法在中等规模的城市和农村社区在安大略省的卫生保健提供者与客户、 非正规护理人员，进行了焦点小组访谈。数据分析使用的定向和突发编码组合。在一系列的反馈会议期间与会者分享了结果。结果一个广泛的壁垒、 主持人和推荐的健康系统改进列表生成。障碍包括贫穷的系统集成和获得服务的机会有限。确定调解人的人和家庭为中心的护理、 自我管理资源和协作的成功实践。建议系统改进包括扩大并整合护理团队，支持系统导航和开发标准化的信息系统和护理的途径。结论当试图访问 CBPHC，老年人仍然遇到令人沮丧的障碍。查明了障碍和调解紧密结合现有文献和瓦格纳的慢性关心模型的改进后的系统集成。实施建议的改善措施，并识别及其影响的病人和系统的成果，将需要额外的工作。

結果 (中文) 3:

摘要
背景
老年人往往是由现有的以社区为基础的初级卫生保健模式的服务很差，（cbphc）。我们从客户的，非正式的照顾者寻求输入，并对系统的改进建议，卫生保健提供者。
方法
举行焦点小组访谈，与客户，非正式的照顾者，在中小城市和农村的社区卫生保健提供者在安大略。数据的使用相结合的定向和紧急编码分析。结果同一系列的参与者的反馈会议期间。
结果
壁垒，促进广泛的名单，并建议卫生系统改进的生成。障碍包括系统集成差和有限的访问服务。确定了促进个人和家庭为中心的护理，自我管理资源，并成功的合作实践。推荐系统的改进，包括扩大和整合服务团队，为导航系统的支持，开发标准化的信息系统和服务的途径。
结论
老年人仍然经历令人沮丧的障碍时，试图访问cbphc。障碍和改进系统的集成以及与现有文献和瓦格纳的长期护理模式排列的促进者。需要更多的工作来实现的改进建议和辨别病人和系统结果的影响。