养老院的专业息治疗 - - 基于索赔数据的回顾性分析
Laura Rehner1,2, Kilson Moon1, Wolfgang Hoffmann1
1Department of Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
PloS one
|February 14, 2025
概括
在德国,养老院住户比在家里住户更少接受专门的息治疗. 这项研究发现,对于养老院患者来说,获得专门的门诊息护理的机会显著降低.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 息护理旨在提高患有终身疾病的个人的生活质量.
- 养老院越来越多地成为德国老年人终身护理的常见场所.
- 在德国养老院内,人们认识到需要改进专业化息护理服务.
研究的目的:
- 分析德国梅克伦堡-西波梅兰的养老院专业门诊息护理团队提供的服务类型和频率.
- 为了比较在养老院和私人住宅中专门的息治疗的利用率.
主要方法:
- 分析法定医疗保险医生和麦克伦堡-西波梅兰的BARMER (2015-2017) 的数据.
- 包括所有在养老院接受专业门诊息护理的患者.
- 使用索赔和人口数据创建可比的养老院居民和私人家庭患者 (≥80岁,<12个月预期寿命) 组.
- 描述性统计和奇方位测试用于数据分析.
主要成果:
- 总共有6,096名患者接受了专业的门诊息护理;16.0%是养老院居民.
- 护理的平均持续时间在养老院是12.0天,而在私人家庭是27.2天.
- 在养老院,专门息治疗的使用率为4.7%,而在私人家庭中为9.2% (p < 0.0001).
结论:
- 一个有限的比例的养老院居民在他们的最后一年接受专业的门诊息治疗.
- 养老院住户获得专业息治疗的比例约为私人家庭住户的一半.
- 调查结果表明,人们在获得专门的门诊息护理方面存在差异,这凸显了养老院需要加强服务的必要性.
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