医院住院的风险与使用消费者导向的护理人员护理相关
Ray Van Cleve1, Evan Cole1, Coleman Drake1
1University of Pittsburgh.
Journal of aging & social policy
|May 8, 2024
概括
与机构指导的个人辅助服务 (PAS) 相比,消费者指导的个人辅助服务 (PAS) 并没有增加残疾老年人的住院风险. 这项研究发现,两种护理模式之间的健康结果没有显著差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 关于残疾人的研究.
背景情况:
- 有残疾的老年人经常利用个人辅助服务 (PAS) 来独立生活.
- 现有两种主要模式:机构指导的PAS和消费者指导的护理,后者为接受者提供预算控制.
- 以消费者为导向的护理与假设的健康风险一起带来潜在的好处.
研究的目的:
- 调查消费者导向的PAS与机构导向的PAS相比,是否与住院住院的风险更高有关.
- 分析护理交付模式对Medicaid受益人的健康结果的影响.
主要方法:
- 使用了宾夕法尼亚医疗补助申请,入学档案和医疗保险/医疗补助住院数据.
- 采用了两阶段最小平方回归分析.
- 使用县级消费者导向护理用户的百分比作为PAS类型的仪器变量.
主要成果:
- 在接受消费者指导的PAS和接受机构指导的PAS的人之间,没有发现住院风险的统计学上显著差异 (p = 0.976).
- 这些发现表明,在消费者指导和机构指导的护理模式之间做出选择不会对住院率产生差异性的影响.
结论:
- 消费者指导的个人辅助服务似乎与机构指导的服务在医院住院风险方面一样安全.
- 政策和实践可以考虑以消费者为导向的模式,而没有证据表明住院危险增加.
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