与老年痴呆症相关的护理使用和财务状况的变化
HwaJung Choi1,2,3,4, Kenneth M Langa1,2,3,4, Edward C Norton2,3,5
1Department of Internal Medicine, School of Medicine, University of Michigan, Ann Arbor.
JAMA internal medicine
|October 16, 2023
概括
痴呆症显著增加了长期护理需求和老年人的财务负担,包括更高的医疗费用和减少财富. 家庭护理的可用性是预测这些重大影响的关键因素.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 据预测,患有痴呆症的人口将增加一倍以上,需要了解其对护理使用和财务结果的影响.
- 估计这些影响对于个人,家庭和社会规划至关重要.
研究的目的:
- 确定痴呆症老年人护理利用的增量变化.
- 评估痴呆症对个人,家庭和社会的经济后果.
主要方法:
- 一个基于人口的队列研究,使用倾向性得分与纵向国家数据相匹配.
- 包括55岁以上没有痴呆症的美国成年人,在基线时跟踪了8年.
- 在随访期间发现的痴呆症发病 (n=2387) 与对照组 (n=2387) 相比.
主要成果:
- 痴呆症组的护理使用量显著增加:每月45小时对13小时的护理时间,增加了家庭医疗护理,住院和护理设施的使用.
- 痴呆症组的财务状况明显恶化:自费费用上升,中位财富下降,医疗补助入学人数增加.
- 低基线家庭护理的可用性扩大了护理机构的使用.
结论:
- 痴呆症给老年人带来了大量的长期护理和财务负担.
- 家庭护理的可用性是预测痴呆症多方面的影响的关键因素.
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