对于患有痴呆症的人来说,住院和急诊室的访问
E Zafeiridi1, A McMichael1, L O'Hara1
1Centre for Public Health, Queen's University, Belfast, UK.
QJM : monthly journal of the Association of Physicians
|October 9, 2023
概括
痴呆症患者 (PwD) 更多地使用医院和急诊室 (ED),但令人惊的是,这些访问后的死亡率较低. 政策应该支持获取,而初级保健和电子健康提供了替代方案.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 以前的研究表明,痴呆症患者 (PwD) 的住院和急诊室 (ED) 使用率更高.
- 了解医疗保健利用模式对于有效的患者护理和资源配置至关重要.
研究的目的:
- 评估PWD的住院和ED访问率.
- 在PWD中确定医疗保健使用的原因和预测因素.
- 评估PWD在住院和急救诊所访问后的生存结果.
主要方法:
- 使用国家数据集进行回顾性研究.
- 这项研究涉及26,875名痴呆症患者和23,961名对照患者.
- 对人口特征,养老院转换和医疗保健利用的数据链接.
主要成果:
- 痴呆症与增加的住院和急救诊所访问有关,但再入院率较低.
- 养老院过渡,城市生活和丧偶预测了更高的入院率.
- 女性性别,较不贫困地区和年龄较大与较低的入院率或ED访问率有关.
- 在入院后PWD或ED访问时,死亡率出乎意料地较低.
结论:
- 这些发现提高了PWD对医院和ED使用的理解.
- 长期生存后医疗保健访问表明需要支持性政策.
- 初级保健和电子健康干预措施可能提供有效的替代方案,以减少痛苦和成本.
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