谁会选择以消费者为导向的个人护理? 在纽约医疗补助计划下描述用户和转换者
Julia G Burgdorf1, David Russell1, Jennifer M Reckrey2
1Center for Home Care Policy & Research, VNS Health, New York, NY 10017, United States.
Health affairs scholar
|September 22, 2025
概括
医疗补助个人护理选择因年龄,家庭支持和认知需求而异. 认知障碍和家庭支持有利于以消费者为导向的护理,影响转换模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 医疗补助个人护理服务 (PCS) 提供以机构为导向和以消费者为导向的模式.
- 以消费者为导向的护理 (CDC) 已经显著增长,但用户特征仍未得到充分研究.
研究的目的:
- 为了比较机构指导与消费者指导的护理的用户配置文件.
- 确定在MLTC招生人群中预测这些护理模式之间的过渡的因素.
主要方法:
- 对15395名双重注册MLTC成员 (2018-2023) 的临床评估和索赔数据的分析.
- 机构指导和消费者指导的护理用户之间的特征比较.
- 后勤回归用于预测护理模型之间的切换概率.
主要成果:
- 疾病预防控制中心的用户年轻,有更多的家庭支持,功能/临床需求较少,但认知障碍较大.
- 较高的认知障碍,家庭护理人员的可用性和大学教育预测过渡到CDC.
- 较少的每周个人护理服务时间预测了任何护理模式的转换.
结论:
- 机构指导的护理与消费者指导的护理的用户配置文件存在显著差异.
- 在护理模式选择和转型中,认知,社会人口和家庭因素至关重要.
- 政策必须确保多样化的医疗补助注册人继续获得CDC.
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