年度健康访问能减少早期痴呆症诊断的差异吗?
Yong-Fang Kuo1,2,3,4, Huey-Ming Tzeng4,5, Yong Shan1,2
1Department of Biostatistics and Data Science School of Public and Population Health University of Texas Medical Branch Galveston Texas USA.
医疗保险年度健康访问 (AWV) 与早期认知障碍诊断的可能性更高有关. 这些访问适度地减少了基于性别和种族/种族的诊断差异.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 早期痴呆症诊断在各种人口群体之间存在显著差异,包括种族/种族,性别,教育和居住地.
- 现有的研究缺乏关于医疗保险年度健康检查 (AWVs) 减轻这些诊断差异的潜力的数据.
研究的目的:
- 调查医疗保险年度健康访问 (AWV) 与轻度认知障碍 (MCI) 与阿尔茨海默氏症和相关痴呆症 (ADRD) 的诊断之间的关联.
- 确定AWV是否可以减少早期痴呆症诊断中的现有差异.
主要方法:
- 一项嵌套病例控制研究,利用100%的医疗保险受益者在2017年至2020年期间被诊断患有MCI或ADRD.
- 分析的重点是AWV接收与认知障碍诊断阶段 (MCI与ADRD) 之间的关系.
主要成果:
- 与ADRD相比,接受AWV的受益者在MCI阶段被诊断出来的可能性比ADRD阶段高13%至21%.
- 观察到AWV,性别和种族/民族的显著相互作用效应,表明AWVs影响了诊断差异.
- 虽然AWV在性别之间显示了类似的MCI与ADRD诊断概率,但它们在MCI诊断中减少了但没有消除种族/种族差异.
结论:
- 医疗保险年度健康访问 (AWVs) 显示,对减少认知障碍早期诊断的差异产生了适度但显著的影响.
- 在识别早期认知衰退时,AWV有助于减少性别和种族/民族差异.
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