评估老年退伍军人中设施年龄友好认可和随后的无设施日之间的关系
Robert E Burke1,2,3, Andrew Tjader4, Kimberly Church5
1Center for Health Equity Research and Promotion, Corporal Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.
年龄友好型医疗系统的认可显示,退伍军人的无设施日数略有,但在统计学上有显著的改善. 需要进一步的研究来探索更具响应性的结果措施和潜在的成本节约.
科学领域:
- 改善老年保健和卫生系统的质量.
- 医疗保健结果研究.
- 公共卫生和医疗保健政策.
背景情况:
- 成千上万的医疗保健系统被认为是"老年友好"的,因为它们实施了老年护理实践.
- 年龄友好识别对患者结局的影响仍然在很大程度上是未知的.
- 退伍军人卫生管理局 (VHA) 是最大的综合老年友好型卫生系统之一.
研究的目的:
- 确定年龄友好认可对VHA内的患者结果的影响.
- 评估年龄友好认可和无设施日之间的关联.
- 调查子组效应和个别结果组件.
主要方法:
- 使用时间事件差异分析.
- 检查了50个VA医疗中心 (VAMCs),在2021年12月之前被认定为年龄友好型.
- 评估了无设施日,医院日和养老院日的变化.
主要成果:
- 年龄友好的认可与无设施日的小,统计学上显著的改善有关 (每年增加0.2%).
- 在子组或个别结局组件 (医院/养老院日) 中没有发现显著差异.
- 每位退伍军人每年平均增加0.73个无设施日.
结论:
- 年龄友好认可对无设施日的个人层面影响很小.
- 无设施日可能不是一个足够响应的结果措施,以便尽快实施.
- 人口水平的改进可能会带来显著的成本节约;对于未来的研究,建议采取更广泛的结果措施.
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