在老年人中使用社区入门家庭医疗保健的驱动因素
Julia G Burgdorf1, Christine S Ritchie2, Jennifer M Reckrey3
1Center for Home Care Policy & Research, VNS Health, New York, NY, USA.
Journal of the American Medical Directors Association
|November 6, 2023
概括
社区入口家庭健康 (HH) 服务于有重大需求的老年人,包括那些日常生活限制和跌倒的人. 这种护理对于防止可避免的医疗保健使用至关重要.
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:
- 越来越多的医疗保险家庭健康 (HH) 患者是社区入口患者,这意味着他们没有先前住院就被转介到HH.
- 了解预测社区HH使用的因素对于解决这一群体的护理需求至关重要.
研究的目的:
- 确定与老年人社区入口家庭健康 (HH) 使用相关的个人,社会支持和社区因素.
- 提供有关促使社区HH转介的情况的基础信息.
主要方法:
- 国家代表性队列研究使用与HH患者评估 (2012-2018) 相关的健康和退休研究 (HRS) 数据.
- 分析包括11,425个年龄≥65岁的独特个体 (27,026个观察期).
- 权重,多变量后勤回归模拟社区入口HH使用,定义为没有先前住院或机构护理的HH发作.
主要成果:
- 在整个观察期内,HH使用率为13.4%.
- 老年人与医疗补助入学,公平/健康状况不佳,3+活动的日常生活限制,或最近的跌倒有更高的社区入口HH使用的几率.
- 接受任何照顾者帮助 (家庭,付费或两者兼而有之) 的个人与没有帮助的人相比,使用社区入口HH的可能性要高得多.
结论:
- 社区入口家庭医疗 (HH) 服务于具有大量长期护理需求和临床复杂性的人口.
- 这项服务对于提供熟练的护理和防止不必要的医疗保健利用至关重要.
- 需要持续监测社区入口的卫生保健可访问性,因为它是家庭护理的关键组成部分,以满足高需要的老年人.
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