在澳大利亚进入长期护理之前和之后,利用初级医疗保健服务
Gillian E Caughey1, Miia Rahja2, Luke Collier3
1The Registry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, SA, Australia; UniSA Allied Health and Human Performance, University of South Australia, Adelaide, SA, Australia; Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia.
Archives of gerontology and geriatrics
|October 9, 2023
概括
在老年人进入长期护理 (LTC) 后,包括全科医生访问在内的初级医疗保健使用显著增加. 然而,疼痛和息需求的专业护理减少了,突出显示了满足复杂居民需求的差距.
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
- 公共卫生 公共卫生
背景情况:
- 初级医疗保健服务对老年人至关重要,特别是那些过渡到长期护理 (LTC) 的人.
- 在LTC进入之前和之后了解服务利用模式对于优化护理提供至关重要.
- 澳大利亚政府医疗保险福利计划 (MBS) 补贴初级医疗保健服务.
研究的目的:
- 在澳大利亚进入长期护理 (LTC) 之前和之后,检查医疗保险福利计划 (MBS) 补贴的初级医疗保健服务的利用情况.
- 确定使用全科医生 (GP),相关健康和专业服务的变化.
- 评估初级保健是否足以满足LTC居民的需求.
主要方法:
- 澳大利亚65岁或以上的个人进入澳大利亚LTC的回顾性队列研究 (2012-2016).
- 在LTC进入前后91天期间分析MBS补贴服务 (全科医生,医生/护士,相关健康,心理健康,专家).
- 估计利用率的变化是使用来自一般估计方程Poisson模型的风险比率 (RR) 来估计的.
主要成果:
- 包括235,217名居民 (平均年龄84岁,61.1%为女性).
- 在LTC进入后,全科医生/医疗从业人员的出勤率显著增加 (86.6%至95.6%,aRR 1.10).
- 紧急后班和后班出勤人数几乎翻了一番 (aRR分别为1.72和1.83).
- 在LTC前,疼痛,息和老年病专家的诊断率很低,入院后进一步下降.
结论:
- 在进入长期护理后,初级医疗保健的利用率,特别是全科医生的使用率,会增加.
- 在LTC居民中,疼痛和息护理需求的专业服务有所减少.
- 有机会提高初级医疗保健服务的利用率,以更好地满足LTC居民的复杂需求.
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