熟练的家庭医疗利用和痴呆老年人的结果:一个范围审查
Jamie M Smith1, Julia G Burgdorf2, Tiffany J Riser1
1Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
Journal of the American Geriatrics Society
|October 2, 2024
概括
痴呆症患者 (PwD) 使用家庭医疗 (HH) 服务不同,经常在不需要住院的情况下获得护理,并承担更高的费用. 对这种独特的患者群体的临床结果需要更多的研究.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 神经学 神经学
背景情况:
- 患有痴呆症的人 (PwD) 是需要家庭健康 (HH) 服务的重要且不断增长的人群.
- 了解PWD在HH中的独特使用模式和临床结果对于有效的护理和政策制定至关重要.
研究的目的:
- 系统地审查和综合现有关于医疗保险合格家庭健康利用和痴呆症患者临床结果的文献.
- 确定痴呆症在HH研究中如何定义和分类.
- 检查痴呆症状况与高血压利用和临床结果之间的关联.
主要方法:
- 使用了一个范围审查框架 (Arksey和O'Malley).
- 在PubMed,Google Scholar和相关期刊中进行了从2000年到2023年的定量研究的搜索.
- 包括专注于医疗保险HH使用和美国PwD的结果的研究.
主要成果:
- 32篇文章符合纳入标准,主要使用基于Medicare受益人的索赔数据.
- 普华永道 (PwD) 显示出明显的医疗卫生利用率,包括更高的没有先前住院的入院率,更长的住院时间和更高的成本.
- 由于研究设计,样本和措施的变化,临床结果数据不一致,突出显示了理解护理途径影响的研究差距.
结论:
- 痴呆症患者是家庭医疗保健中的一个独特的群体,需要定制的政策和评估.
- 需要进一步的研究,以阐明PWD的临床结果,以加强实践和提高护理质量.
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