非正式的照顾:卫生系统成本的影响
Sara Shearkhani1,2, Yu Qing Bai2,3,4, Kerry Kuluski2,5
1Michael Garron Hospital, Toronto, ON, Canada.
Western journal of nursing research
|January 24, 2025
概括
非正式的护理可能会降低公共卫生保健费用,尽管对护理人员健康有潜在的负面影响. 这项研究发现,照顾者的医疗保健费用比非照顾者的医疗保健费用低11.32%.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 非正式的护理往往被视为医疗保健系统的成本节约措施.
- 然而,照顾者可能会对照顾者的健康产生负面影响,可能会增加他们的医疗保健利用率和成本.
- 本研究调查了非正式护理对医疗保健支出的净经济影响.
研究的目的:
- 检查非正式照顾对加拿大安大略省公共资助医疗服务成本的影响.
- 为了比较非正式照顾者的医疗保健成本与非照顾者的医疗保健成本.
主要方法:
- 利用了来自2008/09年加拿大社区健康调查-健康老龄化补充的数据,与行政健康数据库联系在一起.
- 采用差异差异设计来分析医疗保健总费用在护理开始日期前1-2年和之后的变化.
- 用通用线性模型来估计医疗保健总成本.
主要成果:
- 该研究包括4275名参与者 (1265名护理人员,3010名非护理人员).
- 虽然两组的医疗保健利用率随着时间的推移而增加,但护理人员的增加不那么明显.
- 照顾者的调整后的医疗保健总费用比照顾者以外的医疗保健费用低11.32%,在照顾者开始两年后.
结论:
- 研究结果表明,非正式照顾可能会导致公共医疗保健成本降低.
- 突出了政策和研究中的数据收集和护理人员识别的关键差距.
- 强调需要对护理人员客观健康结果进行纵向研究.
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