Abstract

ABSTRACTObjective:this study developed a people-centered care (PCC) partnership model for the aging society to address the challenges of social changes affecting people’s health and the new role of advanced practice nurses to sustain universal health coverage. Method:a people-centered care partnership model was developed on the basis of qualitative meta-synthesis of the literature and assessment of 14 related projects. The ongoing projects resulted in individual and social transformation by improving community health literacy and behaviors using people-centered care and enhancing partnership between healthcare providers and community members through advanced practice nurses. Results:people-centered care starts when community members and healthcare providers foreground health and social issues among community members and families. This model tackles these issues, creating new values concerning health and forming a social system that improves quality of life and social support to sustain universal health care through the process of building partnership with communities. Conclusion:a PCC partnership model addresses the challenges of social changes affecting general health and the new role of advanced practice nurses in sustaining UHC.

Highlights

  • Advanced nursing practices are new aspect in Japan; nurses are facing a historical turning point in their professional role, derived from a combination of internal professionalizing drivers, external political intentions, and social needs[1,2,3]

  • Effective partnership with and participation of nurses will contribute to universal health coverage (UHC)(4)

  • This study develops a people-centered care (PCC) partnership model in an aging society to address the challenges of social changes affecting general health and the new role of advanced practice nurses in sustaining UHC

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Summary

Introduction

Advanced nursing practices are new aspect in Japan; nurses are facing a historical turning point in their professional role, derived from a combination of internal professionalizing drivers, external political intentions, and social needs[1,2,3]. Nurses are expected to become agents of change in the health system and expand their role into a new and uncharted territory with advanced skills, knowledge, and competencies. Cardiovascular diseases account for the most NCD deaths, i.e., 17.5 million people annually, followed by cancer (8.2 million), respiratory diseases (4 million), and diabetes (1.5 million). These four groups of diseases account for 82% of all NCD deaths worldwide (WHO, 2015)(5). To suppress the financial constraints of health care, it is important to improve lifestyles to prevent NCDs and promote health, enhancing health literacy for all ages

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