The focus of this study was to identify challenges to family eldercare provision from the perspectives of both caregivers and community stakeholders. This qualitative study used data from 306 family caregivers and 116 stakeholders (aging, social, and health service professionals who work with older adults and their families) in North Dakota. Data sources included an American Association of Retired Persons-ND survey of 110 caregivers, a survey by the ND Family Caregiver Support Program (196 participants), and a Statewide Caregiving Stakeholder Survey (116 participants). Thematic analysis identified five themes: (a) financial burden of providing eldercare, (b) insufficient access to respite care, (c) difficulty finding and navigating available services and programs, (d) lack of knowledge and training on care provision, and (e) challenges related to environmental context of caregiving. Implications for working with family caregivers and developing policies for eldercare are discussed.

中文翻译：

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家庭照顾者面临的挑战：老年人照料的多种观点。

这项研究的重点是从照顾者和社区利益相关者的角度确定家庭养老服务的挑战。这项定性研究使用了北达科他州306位家庭看护者和116位利益相关者（与老年人及其家庭一起工作的年龄，社会和卫生服务专业人员）的数据。数据来源包括美国退休人员协会对110名照顾者的ND调查，ND家庭照顾者支持计划的调查（196名参与者）和全州照顾者利益相关者调查（116名参与者）。专题分析确定了五个主题：（a）提供老年护理的财政负担；（b）暂托护理的机会不足；（c）难以找到和浏览现有的服务和方案；（d）缺乏关于护理提供的知识和培训，（e）与照料环境有关的挑战。讨论了与家庭护理人员一起工作和制定老年人护理政策的意义。