精神疾病史是否会影响老年人的初级保健慢性疾病管理? 一项基于人口的倾向性得分匹配研究
Rebecca H Correia1, Sandra Peterson2, Rita K McCracken3
1Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Age and ageing
|September 24, 2025
概括
患有精神疾病史的老年人接受更多的初级保健,但对慢性疾病的测试和药物治疗较少. 这表明了可比性慢性病管理的潜在障碍,突出了综合护理的必要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有慢性身体疾病和精神疾病的老年人需要复杂的护理.
- 心理疾病的治疗可以使身体健康状况恶化.
- 卫生服务使用和慢性疾病管理的变化需要审查.
研究的目的:
- 比较基于证据的糖尿病,心力衰竭和COPD的老年人与没有精神疾病治疗史的基于证据的管理.
主要方法:
- 在不列颠哥伦比亚省 (2020-2023) 进行了基于人口的倾向得分匹配研究.
- 包括患有糖尿病,心力衰竭和/或COPD的老年人 (≥65岁).
- 根据精神疾病病史,根据年龄,性别,农村和收入,匹配的个人1: 1.
主要成果:
- 患有精神疾病史的人有更多的初级保健和专家联系,包括虚拟访问.
- 在那些有精神疾病史的人群中,实验室检测较少,接受治疗慢性疾病的处方药的可能性较低.
- 在卫生服务利用和慢性疾病管理结果方面发现了显著的差异.
结论:
- 患有精神疾病的老年人面临着慢性疾病管理的障碍,尽管初级保健参与度增加.
- 综合,多学科的护理模式对于解决心理和身体健康需求至关重要.
- 调查结果强调需要改善对这一弱势群体的护理协调.
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