在急性健康事件后,残疾和长期护理利用的轨迹
Judite Gonçalves1,2,3, Luís Filipe4, Courtney H Van Houtven5,6,7
1School of Public Health, Imperial College London, London, UK.
Journal of aging & social policy
|October 9, 2023
概括
像关节骨折,中风和心脏病发作等重大健康事件会导致持久的残疾和增加的护理需求. 长期康复不太可能,强调需要更好的预防和后急性护理.
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:
- 骨折,中风和心脏病发作等急性健康事件显著影响个人长期健康轨迹.
- 这些健康冲击对残疾,护理利用和未满足需求的长期影响尚未完全理解.
研究的目的:
- 为了检查与没有经历关节骨折,中风或心脏病发作的人的长期发展轨迹.
- 了解这些健康事件对残疾,护理需求和随着时间的推移而未满足的护理需求的影响.
主要方法:
- 利用了来自健康和退休研究 (1992-2018) 的纵向数据.
- 对那些经历过关节骨折,中风或心脏病发作的个人与没有这些健康冲击的对照组进行了比较.
主要成果:
- 关节骨折,中风和心脏病发作导致严重的,持续的残疾和增加的护理利用率,没有观察到显著的长期恢复.
- 非正式的护理人员对中风和心脏病发作幸存者至关重要,而在关节骨折后,养老院护理更为常见.
- 即使在健康冲击之前,在一般人群中,未得到满足的护理需求也很普遍,这强调了预防性护理的重要性.
结论:
- 这些急性健康事件使个人在残疾,护理需求和未满足需求方面处于永久性更糟糕的轨迹上.
- 建议采取政策干预措施,确保住院人员,特别是50岁及以上的患者获得适当的康复和急性后护理服务.
- 住院需要在即时康复期之外解决未满足的护理需求.
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