丹麦全科医院中老年患者的护理连续性和不连续性:一项回顾性队列研究
Jonas K Olsen1, Troels Kristensen2
1Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark jkolsen@health.sdu.dk.
BJGP open
|June 19, 2023
概括
丹麦老年人的护理连续性 (COC) 高,大多数患者与他们的全科医院保持长期关系. 这项研究强调了老年人的持续的患者与全科医院的联系.
科学领域:
- 老年学是一门学科.
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人护理连续性 (COC) 与更好的健康结果有关,包括减少医疗保健利用率和死亡率.
- 目前对老年人COC的研究往往受短时间研究和小样本大小的限制.
- 长期的COC需要至少10年的持续的患者和全科医院关系,需要更长的时间框架和更大的人群进行研究.
研究的目的:
- 量化丹麦通用诊所的纵向场地级护理连续性的程度.
- 确定丹麦老年人群患者与全科医院关系的持续时间.
主要方法:
- 一项回顾性队列研究,利用来自丹麦一般实践的个人级别注册表数据.
- 纳入标准:截至2021年12月31日,所有65岁或以上的患者.
- 分析期:2007年1月至2021年12月,检查患者的全科医院列表开始和结束日期.
主要成果:
- 39.3%的老年人在整个15年研究期间保持相同的一般做法.
- 在那些有护理不连续的人群中,34.0%的人改变了一次,16.3%两次,6.3%三次;不到5%的人改变了三次以上.
- 患者与全科医院关系的平均持续时间为9.5年,其中38.8%的关系持续10年或更长时间.
结论:
- 丹麦的一般实践表明,他们对老年患者群体的护理在现场水平上具有很高的连续性.
- 平均而言,65岁及以上的患者只改变了一次一般实践,维持了约9.5年的关系.
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