孤独对初级保健中的医疗利用的影响:一项回顾性研究
1Healthcare District Alicante-Sant Joan, Fisabio, Alicante, Spain; Health Psychology Department, Universidad Miguel Hernandez, Elche, Spain; RICAPPS (Research Network on Chronicity, Primary Care, and Prevention and Health Promotion), Spain.
Journal of healthcare quality research
|April 26, 2024
概括
老年人的孤独与增加的初级保健使用有关. 患有孤独感的患者比同龄人使用的医疗保健资源要多得多,每年额外花费802.18欧元.
科学领域:
- 老年学是一门学科.
- 初级医疗保健医学 一级医疗保健医学
- 健康的社会决定因素
背景情况:
- 越来越多的患者在初级保健机构中出现孤独感.
- 孤独是一个日益严重的问题,影响患者的健康和医疗保健利用率.
研究的目的:
- 调查老年人孤独与医疗机构使用率之间的联系.
- 量化孤独对初级保健资源消费的影响.
主要方法:
- 这是一项回顾性观察性研究,分析了65岁以上932名患者的例行编码数据.
- 使用DeJong尺度评估孤独感;医疗保健利用数据包括初级保健访问,护士咨询,社会工作者联系,家庭访问和紧急咨询.
- 数据按患者居住区人口规模分层.
主要成果:
- 较高的孤独得分与极端的医疗保健资源使用相关.
- 与同龄人相比,患有孤独感的患者平均每年额外的医疗费用为802.18欧元.
- 平均每年初级护理人员的就诊次数为12.2次 (家庭诊所) 和10.7次 (护士).
结论:
- 孤独与老年人在初级保健中更高的医疗保健资源利用率显著相关.
- 报告孤独的个人使用初级保健服务的次数是不孤独的同龄人的两倍.
- 解决孤独问题可能会导致更有效地分配初级保健资源,并改善患者的治疗结果.
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