在痴呆症识别之前,哪些因素会影响未来的医疗保健使用轨迹:行政数据的多层次分析
Anaïs Couret1,2,3, Maryse Lapeyre-Mestre4,5, Eugénie Gombault-Datzenko6
1Agence Régionale de Santé Occitanie, Toulouse, France. anais.couret1@univ-tlse3.fr.
BMC geriatrics
|January 23, 2024
概括
在阿尔茨海默病和相关疾病 (ADRD) 诊断之前的预防和专业护理预测了诊断后更好的医疗保健使用轨迹. 性别和特定的护理类型等因素影响ADRD患者未来的医疗保健质量.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 在阿尔茨海默病和相关疾病 (ADRD) 诊断之前的医疗保健利用模式可能会影响诊断后的医疗保健轨迹.
- 了解这些预诊断因素对于优化长期护理质量至关重要.
研究的目的:
- 在ADRD诊断后,确定有利的医疗保健使用轨迹 (HUT) 的决定因素.
- 调查诊断前医疗保健利用在预测未来HUTs中的作用.
主要方法:
- 采用法国医疗保险数据 (2012年发生的ADRD病例) 全国追溯观察研究.
- 在ADRD确诊前12个月的医疗保健使用情况分析 (-18至-6个月).
- 混合效应物流回归,按年龄分层,以确定有利的5年HUT的决定因素.
主要成果:
- 女性性别,预防和专业护理预诊断与有利的HUTs有关.
- 住院治疗,并发病症和缺乏补偿药物的预诊断减少了有利的HUTs.
- 年龄特定的发现包括抗焦虑药的使用 (65-74岁) 和紧急诊所 (75-84岁) 对HUT产生负面影响,而短期住院 (≥85岁) 对其产生积极影响.
结论:
- 在ADRD诊断之前,定期使用医疗保健,包括预防和专业护理,与改善未来的医疗保健使用有关.
- 患者的依赖性成为一个与诊断后有利的医疗保健轨迹负面相关的因素.
相关概念视频
Dementia
115
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
115
Longitudinal Studies
163
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
163
Alzheimer's Disease: Overview
487
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
487
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
Dimensions of Health and Illness
7.3K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.3K


