在体验低质量的医疗保健和发展痴呆症之间存在关联
José M Aravena1,2, Xi Chen3, Becca R Levy1,4
1Department of Social & Behavioral Sciences, School of Public Health, Yale University, New Haven, Connecticut, USA.
Journal of the American Geriatrics Society
|February 28, 2024
概括
经历低质量的医疗保健,包括歧视和不满,显著增加老年人的痴呆风险. 改善医疗保健服务可能有助于降低痴呆症的流行率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 低质量的医疗保健是老年人各种疾病的已知预测因素.
- 它在痴呆症发展中的作用以前没有被确立.
- 这项研究调查了医疗保健质量低下与老年人群中痴呆发病率之间的关联.
研究的目的:
- 为了确定体验低质量的医疗保健是否与患痴呆症的风险增加有关.
- 检查医疗保健歧视和不满对痴呆风险的具体影响.
主要方法:
- 在健康和退休研究 (2006-2019) 中,分析了3795名参与者 (60岁以上) 的数据.
- 通过歧视和不满指标评估的医疗保健质量低.
- 痴呆症发病率通过医生诊断或认知测试 (认知状态的电话采访) 确定.
- 考克斯回归模型用于计算痴呆风险的调整危险比率.
主要成果:
- 在3795名参与者中,共有700名参与者在随访期间发展为痴呆症.
- 经历低质量的医疗保健显着与痴呆症风险增加50%相关 (调整HR:1.50,95%CI:1.12-2.01).
- 无论是医疗保健歧视还是不满,都独立地预测了更高的痴呆风险.
结论:
- 该研究证实,医疗保健质量低下与老年人痴呆症风险增加有关.
- 研究结果表明,医疗保健的结构性改进,而不仅仅是个人的行为,可能是降低痴呆症患病率的关键.
- 旨在提高医疗保健质量的干预措施可能在痴呆症预防策略中发挥作用.
相关概念视频
01:30Dementia
113
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....
113
01:29Documentation in Long-Term and Home Healthcare Setting
890
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
890
01:26Alzheimer's Disease: Overview
481
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...
481
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:26Traditional Level Of Health Care System
2.8K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.8K
01:18Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K