与日本老年人参观药剂师服务引入相关的因素:一项嵌套病例对照研究
Reina Taguchi1,2, Shota Hamada1,3,4, Nobuaki Michihata2,5
1Research Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, Tokyo, Japan.
Geriatrics & gerontology international
|February 21, 2024
概括
医生的家庭访问,住院和设施入院显著增加了日本老年人接受参观药剂师服务的可能性. 较低的收入和更高的护理需求与较少的服务引入有关.
科学领域:
- 老年人护理医院 老年人护理
- 制药服务 制药服务
- 医疗服务研究 医疗服务研究
背景情况:
- 在日本,居住在社区的老年人面临着独特的医疗保健挑战.
- 访问药剂师的作用对于这种人口群体的药物管理和健康支持至关重要.
- 了解影响采用这些服务的因素对于优化老年护理至关重要.
研究的目的:
- 确定与引入日本社区中居住的老年人来访药剂师服务相关的关键因素.
- 为医疗保健政策和实践提供有关家庭医疗保健扩展的信息.
主要方法:
- 使用来自东京队列的索赔数据进行了一项嵌套病例控制研究.
- 65岁及以上的患者首次接受访问药剂师服务,被确定为病例.
- 对照组根据性别,年龄,保险和月-年进行了匹配,并使用多变量条件后勤回归进行了分析.
主要成果:
- 医生的家庭访问 (OR 27.61),住院 (OR 5.83),和指定设施入院 (OR 4.97) 与服务引入有很强的关联.
- 处方≥10种药物,护理访问和癌症诊断都有积极的关联.
- 由于认知/残疾因素,低家庭收入和高护理需求显示出负面关联.
结论:
- 该研究强调了日本老年人采用参观药剂师服务的重要预测因素.
- 医生主导的家庭护理和急症护理事件似乎是启动这些服务的关键触发因素.
- 社会经济因素和护理依赖程度影响服务的可访问性,这表明可能需要针对性的干预措施.
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