美国成年人多重慢性病的护理质量和获得和感知:MEPS 2019-2021年
Jun Wu1, Patrick W Sullivan2, Alexandra Perez2
1Department of Sociobehavioral and Administrative Pharmacy, Nova Southeastern University Barry and Judy Silverman College of Pharmacy, Fort Lauderdale, FL, USA. jwu@nova.edu.
Journal of general internal medicine
|October 24, 2025
概括
大多数患有多种慢性疾病 (MCC) 的美国成年人有一个通常的护理来源 (USC). 然而,在USC的获取和质量方面仍然存在差异,特别是在下班时间后的获取和提供者参与决策方面.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
- 健康差异 在健康上的差异
背景情况:
- 管理多种慢性疾病 (MCC) 需要有效的护理协调.
- 通常的护理来源 (USC) 对于应对复杂的医疗需求和改善自我管理至关重要.
- 有限的数据存在于USC的访问,质量和美国成年人与MCC之间的差异.
研究的目的:
- 调查MCC的美国成年人中USC的可访问性和感知质量.
- 确定与USC获取和质量的差异相关的社会人口因素.
主要方法:
- 采用2019年和2021年医疗支出小组调查 (MEPS) 数据进行的横截面研究.
- 分析包括美国成年人有两个或两个以上的慢性疾病.
- 后勤回归发现了USC获取和质量的差异,国家估计的个人级别权重.
主要成果:
- 超过91%的美国成人患有MCC (449万个人) 报告患有USC.
- 年龄较大,已婚,非西班牙裔白人,有保险的人和中西部人更有可能拥有USC.
- 很大一部分医生报告说,在工作时间后 (43%) 有困难,其他医生的治疗 (20%) 和共享决策 (20%) 的提供者沟通不足.
结论:
- 虽然大多数患有MCC的美国成年人也有USC,但在获得和护理质量方面显著的社会人口学差异是显而易见的.
- 需要有针对性的干预措施来解决这些差异,并为所有患有多种慢性疾病的个人改善USC.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:29Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
01:30Methods of Documentation VII: EMR
1.4K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.4K
01:11Purpose of Health Records I
1.7K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.7K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K
01:15Methods of Documentation VI: Case Management Model
854
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
854