纵向护理网络的变化以及护理接收者中相关的医疗保健利用情况
Ruotong Liu1, Brent Vander Wyk2, Ana R Quiñones1,3
1Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA.
Research on aging
|January 23, 2024
概括
更多的护理人员,无论是有薪还是无薪,都与住院病例的增加和接受护理的人员进入熟练护理机构的增加有关. 提高护理人员的质量和协调对于更好的患者结果至关重要.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 护理人员网络对于老年人的健康至关重要.
- 了解护理人员网络特征对医疗保健利用的影响至关重要.
研究的目的:
- 检查护理人员网络规模,组成和稳定性与住院和熟练护理机构 (SNF) 入院之间的关联.
- 确定不同类型的护理人员如何影响护理接受者的医疗保健结果.
主要方法:
- 来自国家健康和衰老趋势研究 (NHATS) 的纵向数据与医疗保险和医疗补助服务 (CMS) 数据的分析.
- 包括5个调查波中的3855名老年人.
- 利用通用估计方程 (GEE) 模型来评估护理人员网络与医疗保健利用之间的关联.
主要成果:
- 每一个额外的付费护理人员都与住院的风险更高 (aRR=1.24) 和SNF入院的风险更高 (aRR=1.28).
- 同样,增加无薪护理人员增加了住院的风险 (aRR=1.13) 和SNF入院的风险 (aRR=1.12).
- 这些关联在统计学上是显著的,表明了剂量-反应关系.
结论:
- 研究结果表明,更大的护理人员网络,包括有薪和无薪的个人,矛盾地与医疗保健利用率的增加有关.
- 后果表明需要政策和干预措施,重点是提高护理服务的质量和协调.
- 加强护理人员支持系统可能是必要的,以减轻护理受益人潜在的负面结果.
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