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身体障害のある若者のための特別の医療サービスと対比するチームアプローチ:遡及的なコホート研究
1Academic Unit of Musculoskeletal and Rehabilitation Medicine, University of Leeds, Leeds, UK.
Lancet (London, England)
|November 5, 2002
まとめ
ヤング・アダルト・チーム (YAT) のアプローチは,身体障害のある若者の社会参加を大幅に改善します. この統合ケアモデルは,従来のアドホックサービスと同じくらい費用対効果が高く,独立性や福祉の向上に優れた成果をもたらします.
科学分野:
- リハビリテーション医学 リハビリテーション医学
- 医療サービス 研究 医療サービス
- 障害に関する研究 障害に関する研究
背景:
- 身体障害のある若者は,成人の独立を達成する上で課題に直面し,継続的なサポートを必要とします.
- 複雑なニーズを満たすための現在のサービスの組織,費用対効果,および有効性に関する懸念が存在します.
- この研究では,2つのサービスモデルを評価しています. 調整された若年成人チーム (YAT) アプローチと伝統的なアドホックサービスです.
研究 の 目的:
- ヤング・アダルト・チーム (YAT) のアプローチとアドホック・サービスの効果を比較する.
- 身体障害のある若者の社会参加に対する各サービスモデルの影響を評価する.
- 2つのサービス提供モデルの費用対効果を評価する.
主な方法:
- 254人の身体障害のある若者と124人の健康な対照群を対象とした遡及的なコホート研究.
- サービス効果を評価するために,標準化されたインタビューとロジスティック回帰分析を使用しました.
- Mantel-Haenszel chi2 統計的に分析された資源利用の違い.
主要な成果:
- 痛み,疲労,ストレスの欠如は,参加の2〜4倍の増加と相関しています.
- YATプログラムに参加した若者は,アドホックサービスを利用した若者よりも,社会に参加する確率は2.54倍でした.
- YATとアドホックサービスモデルの間で,リソース利用の有意な違いは見つかりませんでした.
結論:
- ヤング・アダルト・チーム (YAT) のアプローチは,社会参加を強化するためのより効果的なモデルです.
- YATサービスは,アドホックアプローチと比べて費用対効果が同等であることが示されています.
- 統合された,多学科的なYATのサポートは,身体的障害を持つ若い成人の独立性と社会的関与に肯定的な影響を及ぼします.
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