2000年至2019年间痴呆症患者医疗保健使用的农村和城市差异:北克基于人口的研究
Geneviève Arsenault-Lapierre1, Claire Godard-Sebillotte2, Tammy Bui3
1Researcher Centre for Research and Expertise in Social Gerontology Montreal, QC.
Healthcare policy = Politiques de sante
|May 9, 2024
概括
与城市同行相比,患有痴呆症的农村个人经历了医疗保健差异,包括更多的急诊,但与城市同行相比,更少的专家咨询. 在这两组人群中,长期护理和死亡率仍然相似.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 患有痴呆症的农村人口在获得医疗服务方面面临重大差距.
- 在被诊断患有痴呆症的农村和城市社区居民之间,医疗保健利用率存在差异.
研究的目的:
- 为了比较农村与城市地区患有痴呆症的个体的医疗服务利用模式.
- 为农村痴呆症患者确定医疗保健服务缺口的具体领域.
主要方法:
- 从2000年到2019年,重复使用年度横截面队列设计.
- 对20个服务使用率和诊断后一年内死亡率指标的年龄调整率的分析.
- 利用北克行政医疗保健数据库对237,259个人的大量队列进行了分析.
主要成果:
- 20.1%的研究队列居住在农村地区.
- 患有痴呆症的农村人群的急诊室访问和住院率较高,但住院时间较短.
- 在农村人口中,观察到家庭医生和认知专家的访问较少,同时较少使用替代级别的护理.
- 农村和城市群体之间的长期护理入院率和死亡率是可比的.
结论:
- 与城市同行相比,农村痴呆症患者在医疗保健服务利用方面存在显著差异.
- 虽然死亡率和长期护理率相似,但急性护理和专家接入的差异凸显了农村痴呆症护理的关键政策影响.
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