对智力和发育残疾人护理的咨询模式
Rebecca T Putnam1, Phillip M Hughes2, Chelsea C Atkins2
1From the Department of Family Medicine, Mountain Area Health Education Center, Asheville, NC (RTP); Department of Research, UNC Health Sciences at MAHEC, Asheville, NC (PMH, CCA, CMB); Division of Pharmaceutical Outcomes & Policy, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC (PMH); Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC (PMH). rebecca.putnam@mahec.net).
这项研究强调了智力和发育障碍 (IDD) 患者的咨询护理模式,表明它为包括农村地区在内的多样化人口提供服务,改善了医疗保健的获取.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 智力和发育障碍 (IDD) 是一种心理障碍.
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 智力和发育障碍 (IDD) 患者经常面临进入专业医疗保健服务的挑战.
- 在家庭医学中集成的咨询护理模式可能可以弥合这些差距.
研究的目的:
- 评估在家庭医学环境中为智力和发育障碍 (IDD) 患者提供创新的咨询护理模式.
- 用这个模型来描述患者群体,他们的需求和地理分布.
主要方法:
- 从2017年到2023年对184名IDD患者的回顾性图表审查.
- 分析患者的人口统计,诊断,医疗保险状况,生活安排和监护人.
- 空间分析以确定到诊所的行程距离和时间.
主要成果:
- 患者队列 (n=184) 主要是男性 (65%),平均年龄为31.29岁.
- 超过一半的人被医疗补助 (65%) 保险,其中许多人利用州医疗补助豁免 (43%).
- 大多数患者居住在非农村地区,平均旅行时间为20.41英里和27.08分钟;38%的患者接受了精神病学和神经病学等服务的转诊.
结论:
- 咨询护理模式有效地服务于具有不同需求的多样化的IDD患者群.
- 这种模式似乎可以提高IDD患者在广的地理区域获得医疗保健的机会,并有可能接触到服务不足的人群.
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