日间全科医院服务的变化和与老年患者的非工作时间使用的关联:丹麦队列研究的协议
Jonas K Olsen1, Sonja Wehberg2, Frans Boch Waldorff3
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark jkolsen@health.sdu.dk.
BMJ open
|July 27, 2023
概括
一般实践应在正常工作时间管理对老年人的复杂护理,以减少对工作时间以外服务的依赖. 这项研究考察了日间护理的变化及其对老年人下班后使用服务的影响.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 与一般做法相比,非工作时间的初级保健服务可能会损害护理连续性和协调.
- 具有复杂护理需求的患者,特别是75岁及以上的患者,在标准时间内受益于其全科医生的一致管理.
研究的目的:
- 调查75岁及以上的患者在一般诊所中提供白天初级保健服务的差异.
- 确定通用诊所白天提供服务与患者在工作时间之外使用服务之间的关系.
主要方法:
- 一项基于登记的队列研究,包括所有75岁及以上的丹麦公民.
- 普森回归分析用于评估白天服务 (面对面,电话,电子邮件,家庭访问,预防性护理) 的实践水平变化及其与非工作时间服务使用的关联.
主要成果:
- 分析老年患者白天服务的实践水平变化.
- 量化日间服务频率与非工作时间初级保健的使用之间的关联.
结论:
- 了解日间护理的实践变化对于优化对老年患者的护理至关重要.
- 加强白天服务提供的策略可能会减少复杂需求的老年人对外照顾的需求.
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