对中风幸存者的空间忽视和康复机会的诊断
Corey Morrow1, Holden Gasque1, Michelle Woodbury1
1Division of Occupational Therapy, Medical University of South Carolina, Charleston, SC, USA.
概括
很少有中风幸存者接受空间疏忽的诊断,限制了获得关键职业治疗的机会. 这项研究强调了中风患者空间疏忽的诊断不足和治疗不足.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 空间疏忽显著影响中风幸存者的生活质量,影响20-80%的个人.
- 由于空间疏忽导致的慢性损伤在中风幸存者的三分之一中持续存在.
- 职业治疗师对于管理空间疏忽至关重要,但访问他们的服务往往受到限制.
研究的目的:
- 确定中风幸存者的空间疏忽诊断编码的流行情况.
- 评估被诊断为空间疏忽的中风患者的康复服务的利用率和类型.
主要方法:
- 2018-2019年医疗保险有限数据集的回顾性队列分析.
- 鉴定缺血性中风幸存者的身份.
- 基于空间疏忽诊断代码和康复分析的分层现行程序术语代码.
主要成果:
- 只有4.9%的中风幸存者有空间疏忽的诊断代码.
- 在被诊断的患者中,仅有2.3%的患者在急性护理后接受了门诊职业治疗.
结论:
- 在医疗保险人口中,中风幸存者中,空间疏忽的诊断和治疗显著不足.
- 目前的诊断编码实践和康复转诊模式不足以满足空间疏忽需求.
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