在医疗补助家庭和社区服务中以人为本的计划的成果
Natalie Chong1, Joseph Caldwell1, H Stephen Kaye2
1The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA.
The Gerontologist
|February 28, 2024
概括
以人为中心的规划 (PCP) 通过确保接受者偏好指导护理来改善家庭和社区服务 (HCBS). 这项研究发现,PCP与HCBS受益人较少的未满足需求和更好的社区生活结果有关.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会老年学 社会老年学
- 公共卫生政策 公共卫生政策
背景情况:
- 以人为中心的规划 (PCP) 赋予家庭和社区服务 (HCBS) 接收者权力,使服务与个人需求和偏好保持一致.
- 关于HCBS系统中的PCP流行率及其对受益者结果的影响,数据有限.
研究的目的:
- 调查HCBS接受者中PCP的患病率.
- 检查PCP与个人报告结果之间的关联,包括未满足的服务需求和社区生活.
主要方法:
- 利用了2018-2019年国家核心指标-衰老和残疾调查的数据 (n=12个州的5,849名成年医疗补助HCBS接受者).
- 通过参与决策的措施,服务计划反映偏好,以及规划会议的忠实度表来评估PCP.
- 员工调整后勤回归来分析PCP与未满足需求和社区生活指标 (参与,控制,满意度) 等结果之间的关系.
主要成果:
- 大约72%的HCBS接受者表示参与决策,他们的服务计划反映了他们的偏好.
- 47%的受益者经历了高真实性的PCP会议.
- PCP措施与未满足服务需求的可能性降低和积极社区生活结果的可能性增加有显著的关联.
结论:
- 以人为中心的规划对于有效解决服务需求和促进HCBS受益人社区生活至关重要.
- 建议制定标准化措施,以加强以人为中心的HCBS提供质量改进和问责制.
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