比较残疾登记之前和之后的护理连续性:一个回顾性队列研究
Zhaoyan Piao1, Heekyung Choi1,2, Boyoung Jeon3
1College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, Incheon, South Korea.
概括
在注册前一年,身体,视觉和听力障碍患者的护理连续性 (COC) 显著下降. 这凸显了改善这些人口获得医疗保健的必要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 残疾人在获得医疗保健服务方面面临重大障碍.
- 有限的研究存在于残疾对护理连续性 (COC) 的影响.
- 本研究评估了残疾人中COC的变化,以了解医疗保健可访问性变化.
研究的目的:
- 评估残疾对护理连续性的影响 (COC).
- 为了识别残疾登记前后COC的变化.
- 为改善残疾人获得医疗保健的战略提供信息.
主要方法:
- 使用了国家医疗保险服务-国家样本队列2.0数据库.
- 使用Bice-Boxerman护理连续性指数 (COCI) 来测量COC.
- 应用倾向得分匹配和差异分析来比较组.
主要成果:
- 与对照组相比,残疾参与者在残疾登记前一年的COCI得分显著下降.
- 身体,视觉和听力障碍者在COC显著下降.
- 神经障碍的COCI得分变化很小,在注册前两年达到顶峰.
结论:
- 在正式注册之前,身体,视觉和听力障碍的个人在医疗保健连续性的显著下降.
- 对照组在COC中没有出现相似的变化,这强调了残疾人面临的独特挑战.
- 调查结果强调,迫切需要采取干预措施,增强特定残疾人群体的医疗连续性.
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