社会护理支出与多种长期疾病之间的关联:以人口为基础的区域级分析
Emeka Chukwusa1, Paulino Font-Gilabert2, Jill Manthorpe3
1Cicely Saunders Institute, King's College London, London, UK.
Journal of multimorbidity and comorbidity
|October 30, 2023
概括
多重长期健康状况 (MLTC) 在老年人中越来越普遍. 较高的MLTC患病率与英国地方当局的社会护理支出增加有关.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 在老年人群中,多种长期健康状况 (MLTC) 正在增加.
- 了解MLTC的流行程度及其对社会护理支出的影响是有限的.
研究的目的:
- 估计2018年在英格兰死亡的老年人中MLTCs的流行率.
- 评估英国地方当局 (LAs) 的MLTC流行率与社会护理支出之间的关联.
主要方法:
- 在英格兰 (2018年) 对65岁以上的个人死亡证明数据的分析.
- 包括特定的长期疾病:糖尿病,心血管疾病 (CVD),痴呆症,中风,呼吸道和慢性病 (CKD).
- 通过普通最小平方回归 (OLS) 来检查MLTC流行率与LA人均社会护理支出之间的关系.
主要成果:
- 19.9%的死亡 (n=81,395) 涉及两个或两个以上的MLTC,心血管疾病-糖尿病是最常见的.
- 增加的MLTC患病率与更高的LA社会护理支出相关.
- 增加1%的MLTC患病率与LA人均社会护理支出大约增加8.13英有关.
结论:
- 该研究表明,越来越多的MLTC和社会护理支出增加之间存在显著的关联.
- 建议进行进一步的研究,以阐明将MLTC流行率与社会护理支出联系在一起的因果机制.
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