临床医师在熟练护理机构的实践和痴呆症患者的后急性结果
Seiyoun Kim1, Hye-Young Jung2, Derek Lake2
1Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
在熟练护理机构 (SNFs) 的专业医生和高级从业人员团队没有改善阿尔茨海默病和相关痴呆症 (ADRD) 患者的治疗结果,也没有降低治疗费用.
科学领域:
- 老年学
- 医疗服务研究
- 神经学
背景情况:
- 熟练护理机构 (SNF) 为阿尔茨海默病和相关痴呆症 (ADRD) 患者提供急性后护理.
- 医疗保健提供者在基于SNF的实践 (SNFists) 中的专业化已经增长,但其对ADRD患者的结果的影响尚不清楚.
研究的目的:
- 评估SNFist专业化对ADRD患者急性后护理结果的影响.
- 评估SNF患者对与ADRD患者护理相关的医疗费用的影响.
主要方法:
- 进行了跨时间匹配的SNF内差异分析.
- 使用的医疗保险索赔和养老院最低数据集数据来自2012年和2019年.
- 分析了338,574名65岁以上的医疗保险受益者.
主要成果:
- 在SNF治疗和SNF放出后改善的功能结果之间没有发现任何关联.
- SNFist专业化没有显著影响计划外再入院,急诊室访问或成功的社区出院.
- 没有观察到对SNF停留时间或医疗保险支付的重大影响.
结论:
- 医生和高级从业人员专注于基于SNF的实践可能不足以提高ADRD患者的急性后护理结果.
- 目前的SNFist模型可能无法有效降低患者群体的医疗费用.
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