在老年住院患者中全面老年病学评估的实施情况:全国性的回顾性研究
Tatsuya Hosoi1, Hayato Yamana2,3, Shoya Matsumoto1
1Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Geriatrics & gerontology international
|August 6, 2024
概括
在日本,全面老年评估 (CGA) 的实施正在增加,特别是在老年患者身上. 然而,仍然存在显著的区域差异,这凸显了需要采取措施,确保老年人群平等获得这一至关重要的护理.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 全球人口老龄化需要有效的医疗保健策略,如综合老年评估 (CGA).
- 关于CGA的实际实施率,趋势和影响因素的研究有限.
- 了解CGA的现状对于优化对老年人的护理至关重要.
研究的目的:
- 调查日本综合老年病评估 (CGA) 的实施情况和区域差异.
- 分析2016年至2020年CGA利用的时间趋势.
- 确定与CGA实施相关的患者,医院和区域因素.
主要方法:
- 使用诊断程序组合 (DPC) 数据库进行大规模研究.
- 分析了超过190万名65岁以上因中风,心力衰竭,肺炎,骨折或结直肠癌 (2016-2020) 住院的患者的数据.
- 根据患者人口统计,医院特征和地理位置,研究了CGA实施率.
主要成果:
- 在分析的患者中,CGA在28.9%的患者中实施,从25.3% (2016) 稳步增加到33.4% (2019).
- 老年患者 (≥95岁) 和靠近主要大都市地区的地区的实施率更高.
- 一个特定的区域趋势显示,日本东部结直肠癌的CGA增加.
结论:
- 在日本,全面老年评估 (CGA) 的使用正在增长,但在实施方面仍然存在显著的区域差异.
- 有针对性的举措对于解决和减少CGA接入的这些地理差异至关重要.
- 进一步的研究可能会探索具体的干预措施,以促进在日本范围内公平的CGA实施.
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