在生活在补贴住房的老年人中,老年病情和医疗保健的使用率
Sarah E Kler1, L Grisell Diaz-Ramirez2,3, Kira L Ryskina4,5
1Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Journal of the American Geriatrics Society
|June 7, 2024
概括
在补贴住房中的老年人面临住院和护理设施使用的更高风险. 干预措施应解决功能障碍和痴呆症,以支持现场衰老.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 近290万低收入老年美国人居住在补贴住房中.
- 这一群体的医疗保健使用率高于一般社区,但国家数据和风险因素未得到充分研究.
研究的目的:
- 在国家范围内评估在补贴住房中老年人中使用医疗保健的情况.
- 在这个人口群体中确定与医疗保健利用相关的风险因素.
主要方法:
- 来自国家健康和衰老趋势研究 (2011-2020) 的医疗保险受益人 (≥65岁) 的回顾性队列研究.
- 链接的医疗保险索赔数据用于补贴住房和一般社区的个人.
- 使用竞争风险回归来分析住院,熟练护理机构 (SNF) 使用,长期护理和死亡.
主要成果:
- 与社区居民相比,在补贴住房中的老年人显示出住院 (sHR 1.21),短期SNF停留 (sHR 1.49) 和长期护理 (sHR 2.72) 的调整后风险增加.
- 没有观察到死亡危险的显著差异.
- 功能障碍和痴呆症与更高的住院利用率,SNF停留时间和长期护理有关.
结论:
- 65岁以上的补贴住房居民经历了住院住院和护理设施利用率的上升.
- 基于住房的干预措施应针对功能障碍和痴呆症,以促进现场老龄化并减少对护理设施的依赖.
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