团队方法与针对身体残疾的年轻人的特设卫生服务:一项回顾性队列研究
1Academic Unit of Musculoskeletal and Rehabilitation Medicine, University of Leeds, Leeds, UK.
Lancet (London, England)
|November 5, 2002
概括
年轻成年人团队 (YAT) 方法显著改善了身体残疾年轻人的社会参与. 这种综合护理模式与传统的临时服务一样具有成本效益,为独立性和福祉提供了更好的结果.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
背景情况:
- 身体残疾的年轻人面临着实现成人独立的挑战,需要持续的支持.
- 人们对当前服务在满足复杂需求方面的组织,成本效益和有效性存在担忧.
- 本研究评估了两种服务模式:协调的青年成年人团队 (YAT) 方法与传统的临时服务.
研究的目的:
- 为了比较年轻成年人团队 (YAT) 方法与特设服务的有效性.
- 评估每个服务模式对身体残疾年轻人社会参与的影响.
- 评估这两种服务交付模式的成本效益.
主要方法:
- 追溯队列研究涉及254名身体残疾的年轻人和124名健康对照人.
- 标准化采访和后勤回归分析被用来评估服务效应.
- 曼特尔-汉泽尔 chi2 统计分析了资源利用差异.
主要成果:
- 没有疼痛,疲劳和压力与参与率增加2-4倍相关.
- 在YAT计划中的年轻人比使用特设服务的年轻人参与社会活动的可能性是2.54倍.
- 在YAT和临时服务模型之间,没有发现资源利用的显著差异.
结论:
- 年轻人团队 (YAT) 方法是增强社会参与的更有效模式.
- YAT服务的成本效益与临时方法相比,具有可比性.
- 综合,多学科的YAT支持对身体残疾的年轻人独立性和社会参与产生了积极的影响.
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