老年人的身体和精神功能轨迹课程及其与专业医疗保健使用的关联
Jenni N Ikonen1,2,3, Timo Törmäkangas4, Mikaela B von Bonsdorff2,4
1Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
BMC geriatrics
|July 21, 2023
概括
在老年人中对身体和精神功能轨迹的分类有助于了解医疗保健的使用情况. 中间功能轨迹与医疗保健服务利用率的增加有关,突出显示了公共卫生干预措施的必要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 了解身体和精神功能的性别特异性轨迹对于分析老龄化人口的医疗保健利用模式至关重要.
- 之前的研究还没有完全阐明不同性别的不同功能轨迹和医疗保健服务使用之间的关系.
研究的目的:
- 为了对老年人身体和精神功能的性别特异性轨迹进行分类.
- 检查已识别的功能轨迹与各种类型的医疗保健利用之间的关联.
主要方法:
- 隐性生长混合模型被用于定义1991年赫尔辛基出生队列研究的参与者的运行轨迹.
- 用SF-36调查在多个临床检查中收集了身体和精神功能数据.
- 医疗保健利用数据,包括门诊访问,急诊访问和住院日,从国家注册表中提取.
主要成果:
- 在男性和女性中,为身体和精神功能确定了两个不同的轨迹类 (高和中等) .
- 与高轨迹人群相比,中等身体功能轨迹人群使用专业医疗保健服务的比例更高.
- 中级精神功能轨迹类与两性首次门诊访问的使用增加有关.
结论:
- 中间的身体功能轨迹与更专业的医疗保健使用有关,而中间的精神功能轨迹与增加的首次门诊访问有关.
- 这些发现强调了在医疗保健规划和对老龄化人口的资源分配中考虑功能轨迹的重要性.
- 建议采取旨在支持整个衰老过程中的功能公共卫生干预措施.
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