医疗保险中孤独的,社会隔离的成年人的患者-提供者沟通
Sungchul Park1, Ann M Nguyen2, Zoe Lindenfeld3
1Department of Health Policy and Management, College of Health Science, BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Republic of Korea.
American journal of preventive medicine
|February 1, 2025
概括
经历孤独或社会隔离的老年人面临着较差的患者-提供者沟通. 这可能会限制他们与心理健康服务的接触,尽管受影响者使用率更高.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 老年人的孤独和社会孤立与患者与提供者沟通不良有关.
- 这种沟通差距可能会导致医疗保健,特别是心理健康保健的利用率低于最佳水平.
- 对这些关联的经验证据是有限的.
研究的目的:
- 检查患者与医疗服务提供者沟通的差异.
- 评估医疗保健使用模式.
- 为了比较医疗保险受益人与没有孤独和社会隔离.
主要方法:
- 使用2021年医疗支出小组调查数据进行横截面研究.
- 分析了患者提供者沟通和医疗保健利用情况.
- 使用回归分析来比较不同组的结果.
主要成果:
- 遇到孤独的医疗保险受益人报告沟通不良的可能性增加了4.0个百分点.
- 那些处于社会隔离状态的人报告沟通不良的可能性增加了2.0个百分点.
- 精神卫生保健的利用率较高,但总体而言仍然很低.
结论:
- 对于孤独或社会隔离的医疗保险受益者来说,患者与医疗服务提供者的沟通存在显著差异.
- 与心理健康服务的有限参与可能会导致这些差异.
- 解决这些沟通缺口对于满足医疗保健需求至关重要.
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