在老年人中获得医疗保健和认知功能:一个交叉滞后的面板纵向分析
Chenguang Du1, Benjamin Katz2, Prabisha Shrestha1
1University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
概括
认知能力下降,特别是记忆力下降,预示着老年人医疗保健的机会减少. 确保获得护理对于经历认知变化的个人至关重要.
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
- 认知神经科学 认知神经科学
背景情况:
- 认知功能对于导航医疗保健系统至关重要.
- 了解认知和医疗保健接入之间的双向关系对于老龄化人口至关重要.
- 以前的研究还没有完全阐明特定认知领域与医疗保健利用之间的纵向相互作用.
研究的目的:
- 调查认知措施 (情节性记忆,执行功能,全球认知) 和随后的医疗保健准入之间的预测关系.
- 检查医疗保健获取预测未来认知功能的相互关联.
- 分析这些协会纵向在一个大,代表性的老年人队列.
主要方法:
- 采用了交叉滞后的面板模型方法.
- 分析了来自健康和退休研究 (2012-2018) 的9920名参与者的数据.
- 评估了多个波段的认知表现和医疗保健准入指标.
主要成果:
- 认知措施显著预测了以后获得医疗保健的机会,随着时间的推移,这种效应会得到加强.
- 情节性记忆表现出比执行功能对随后的医疗保健准入有更强大的预测影响.
- 在这个队列中,获得医疗保健并不能显著预测随后的认知变化.
结论:
- 认知,特别是记忆,在维持整个衰老过程中获得医疗保健方面发挥着至关重要的作用.
- 调查结果突出了政策和实际干预措施的必要性,以支持认知衰退患者获得医疗保健.
- 这项研究强调了解决认知健康问题的重要性,以确保老年人公平利用医疗保健,而不仅仅是阿尔茨海默病.
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