To identify and categorize home- and community-based services used by older adults and the distribution of their utilization, and to examine their utilization patterns in terms of region, time trends, and older adults' characteristics. Systematic review and meta-analysis. We conducted a systematic search of six databases for studies published up to January 12, 2023, and performed meta-analyses and subgroup analyses to identify the utilization of home- and community-based services and analyze utilization patterns concerning region, time trends, and individual characteristics. We included 42 studies from 10 countries worldwide, involving a total of 2,942,069 older adults. Home- and community-based services were grouped into three categories: health services, social services, and family caregiver services. Regional differences were consistently evident across all three categories of services, reflecting diverse patterns of home- and community-based service adoption worldwide. Notably, there was a significant increase in the utilization of social services, as distinct from health services and family caregiver services, during the post-2010 period (2010–2018) in comparison with the pre-2010 period (before 2010). In addition, age and cognitive function also played an important role in the utilization of home- and community-based services. These findings highlight the importance of tailoring home- and community-based services to specific populations and understanding the needs of older adults over time. Further research should be undertaken to gain a deeper understanding of the reasons behind these variations and differences and to provide more targeted and effective services to older adults worldwide.

中文翻译：

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全球老年人对家庭和社区服务的利用：系统评价和荟萃分析

对老年人使用的家庭和社区服务及其使用分布进行识别和分类，并从区域、时间趋势和老年人特征方面检查其使用模式。系统回顾和荟萃分析。我们对截至 2023 年 1 月 12 日发表的研究的六个数据库进行了系统检索，并进行了荟萃分析和亚组分析，以确定家庭和社区服务的利用情况，并分析有关区域、时间趋势和个人的利用模式。特征。我们纳入了来自全球 10 个国家的 42 项研究，总共涉及 2,942,069 名老年人。家庭和社区服务分为三类：健康服务、社会服务和家庭看护服务。所有三类服务的区域差异始终很明显，反映了全球家庭和社区服务采用的不同模式。值得注意的是，与 2010 年前（2010 年之前）相比，2010 年后（2010-2018 年）社会服务（不同于医疗服务和家庭看护服务）的利用率显着增加。此外，年龄和认知功能在家庭和社区服务的利用中也发挥着重要作用。这些发现凸显了针对特定人群定制家庭和社区服务以及了解老年人长期需求的重要性。应进行进一步的研究，以更深入地了解这些变化和差异背后的原因，并为全世界的老年人提供更有针对性和更有效的服务。