在中风患者的配偶中对医疗保健利用的长期影响
Frida Labori1, Carl Bonander2, Mikael Svensson2,3
1Health Economics and Policy, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Box 463, Gothenburg, 405 30, Sweden. Frida.labori@gu.se.
BMC health services research
|November 24, 2023
概括
卒中幸存者的配偶在医疗保健使用方面经历了微小的变化,住院治疗日数增加,但门诊访问减少. 对于那些严重依赖日常活动的人来说,护理人员负担最为明显 (mRS 3).
科学领域:
- 卫生经济学 卫生经济学
- 脑卒中研究 脑卒中研究
- 护理人员研究 护理人员研究
背景情况:
- 脑卒中对个人及其家人产生重大影响,需要了解非正式照顾者的健康后果.
- 非正式护理的经济负担及其在健康经济评估中的纳入仍然是有争议的话题.
- 这项研究调查了配偶护理人员在首次中风事件后的长期医疗保健利用情况.
研究的目的:
- 估计首次中风对配偶护理人员医疗保健利用的长期影响.
- 分析通过修改的兰金度表 (mRS) 测量中风的严重程度如何影响护理人员的医疗保健消费.
- 通过评估是否需要包括护理人员的医疗费用来为健康经济评估提供信息.
主要方法:
- 使用差异差异方法来比较医疗保健利用率.
- 这项研究包括了首次中风患者的配偶和匹配的参考人群.
- 医疗保健利用率 (初级保健,专家访问,住院日) 分析了中风前和后的五年.
主要成果:
- 与参考组相比,配偶在中风后五年内,住院日数略有增加 (p=0.03).
- 相反,配偶在中风事件发生后,对初级和专业门诊护理的访问较少.
- 对于患有mRS 3 (日常活动中的依赖) 个体的配偶来说,医疗保健利用变化最为显著.
结论:
- 对中风幸存者的配偶照顾对医疗保健利用的总体影响很小.
- 当中风幸存者具有显著的功能依赖 (mRS3) 时,护理人员的医疗保健使用受到最大的影响.
- 根据这些发现,在经济评估中包括配偶护理人员的医疗保健使用率可能不至关重要.
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