2000年至2017年间痴呆症患者在医疗保健利用中的性别差异:加拿大北克的一项基于人口的研究
Genevieve Arsenault-Lapierre1, Tammy Bui2, Claire Godard-Sebillotte3,4
1Center for Research and Expertise in Social Gerontology, Centre Intégré Universitaire de Santé et Services Sociaux Du Centre-Ouest de l'Ile de Montréal, Montreal, QC, Canada.
Journal of aging and health
|March 30, 2024
概括
患有痴呆症的男性和女性经历不同的医疗保健需求和结果. 这项研究强调了痴呆症护理利用率和死亡率的性别差异,这对于改善公平的卫生政策至关重要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 痴呆症影响全球数百万人,对医疗保健利用率和死亡率产生重大影响.
- 了解痴呆症患者医疗保健需求的性别差异对于公平的护理提供至关重要.
研究的目的:
- 在新诊断患有痴呆症的人群中,以性别为基础划分医疗保健利用率和死亡率的差异.
- 为了确定特定的护理领域,痴呆症的男性和女性在他们的健康轨迹上有所不同.
主要方法:
- 一个重复的队列研究,利用来自加拿大北克的卫生行政数据 (2000-2017年).
- 包括65岁以上的社区居民,新诊断患有痴呆症.
- 分析了23个医疗保健利用指标,包括门诊,药物,急症医院和长期护理机构,以及死亡率数据.
主要成果:
- 患有痴呆症的女性表现出更高的门诊和药物治疗利用率.
- 患有痴呆症的男性显示急性医院护理,长期护理入院和死亡率增加.
- 在参观认知专家,抗精神病药物处方或住院死亡方面没有观察到任何显著的性别差异.
结论:
- 在痴呆症男性和女性如何利用医疗保健服务及其相关死亡风险方面存在显著的性别差异.
- 这些发现强调了需要量身定制的干预措施和政策,以确保男女平等的痴呆症护理.
- 解决这些发现的差异对于为医疗保健决策者,提供者和研究人员提供信息,以改善痴呆症护理结果至关重要.
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