在痴呆症识别之前的几年中,医疗保健的利用率和成本
Raj G Kumar1, Evan Bollens Lund2, Katherine A Ornstein2
1Department of Rehabilitation and Human Performance, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|September 18, 2023
概括
在痴呆症诊断之前的几年里,医疗保健成本和利用率显著更高. 这种增加的负担甚至在临床症状明显之前就发生了,这表明了更长的预诊断阶段.
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
- 神经退行性疾病 神经退行性疾病
背景情况:
- 痴呆症显著影响医疗保健费用,特别是在生命的末期.
- 痴呆症的临床前阶段往往是长期的,但在医疗保健利用方面还没有充分研究.
- 现有的研究主要集中在痴呆症诊断后的医疗保健需求上.
研究的目的:
- 为了比较医疗保健成本和利用率在痴呆症识别前6年的纵向趋势.
- 评估后来患有痴呆症的个体的医疗负担,与没有痴呆症的匹配对照组相比.
主要方法:
- 使用健康和退休研究 (HRS) -医疗保险相关样本的回顾性队列研究.
- 包括5547名受益者 (1241人患有痴呆症,4306人没有痴呆症).
- 医疗保健利用率 (门诊,ED,住院,熟练护理,家庭卫生) 和成本在痴呆症确诊前6年进行了比较.
主要成果:
- 患有痴呆症的个体在门诊,急诊室 (ED),住院医院,熟练护理和家庭医疗使用的患病率更高.
- 在痴呆症确诊前几年,医疗保健总成本也较高.
- 与人口统计学上相似的没有痴呆症的对照组相比,观察到这些使用率和成本趋势的增加.
结论:
- 与痴呆症相关的医疗负担始于临床表现和识别之前的几年.
- 研究结果表明,在痴呆症诊断之前,存在着大量未被认可的医疗保健成本和利用阶段.
- 这凸显了对痴呆症早期识别和管理策略的需要.
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