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加勒比地区与美国的痴呆症可归因的医疗保健利用率
Jing Li1, Jordan Weiss2, Ashish Rajadhyaksha3
1The Comparative Health Outcomes, Policy and Economics (CHOICE) Institute, Department of Pharmacy, University of Washington, Seattle, WA, USA.
Journal of Alzheimer's disease : JAD
|October 16, 2023
概括
阿尔茨海默病和其他痴呆症增加了加勒比海和美国的住院治疗. 加勒比地区改善的门诊护理可以更好地管理痴呆症患者,减少医院使用.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球西班牙裔人口中阿尔茨海默病和其他痴呆症的高负担.
- 在美国以外,尤其是加勒比海地区,对痴呆症对医疗保健利用的影响的理解有限.
研究的目的:
- 为了比较加勒比地区与美国老年人的阿尔茨海默病和其他痴呆症的医疗保健利用率.
- 确定与痴呆相关的住院和医生访问的差异.
主要方法:
- 基于人口的调查的协调分析:10/66痴呆症组 (多米尼加共和国,古巴,波多黎各) 和美国健康与退休研究.
- 检查与事件和正在进行的痴呆症相关的医院夜晚和医生访问的变化.
主要成果:
- 在这两个地区,发病性痴呆症显著增加了住院的风险和夜晚.
- 持续的痴呆症在美国增加了住院和住院的夜晚,在加勒比地区的确定性较低.
- 医生访问在美国增加,但在加勒比地区没有增加.
结论:
- 痴呆症的医疗保健利用率增加集中在医院护理中,特别是在加勒比地区的新病例中.
- 有机会加强加勒比地区痴呆症患者的门诊管理,以潜在地减少住院治疗.
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