评估医疗补助平衡激励计划对居住安排的长期护理利用的影响:一项准实验性研究
Ah-Reum Lee1, Yulin Yang2, Thomas Rapp3
1Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA ahreum.lee@ucsf.edu.
医疗补助平衡激励计划 (BIP) 减少了单独生活的老年人的养老院逗留时间. 此外,BIP还增加了与他人生活在一起的人的有偿非正式照顾,证明了定制的长期照顾需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 长期服务和支持 (LTSS) 对老年人的福祉至关重要.
- 医疗补助平衡激励计划 (BIP) 旨在将LTSS转向家庭和社区环境.
- 了解BIP对不同生活方式的影响对于有效的政策制定至关重要.
研究的目的:
- 评估医疗补助平衡激励计划 (BIP) 对老年人中LTSS利用的影响.
- 具体研究BIP如何影响LTSS,基于受益人的生活安排 (独自生活与与他人生活).
主要方法:
- 一项准实验性研究采用了普遍的差异差异方法.
- 利用了"健康与退休研究 (2006-2018) "对老年医疗补助受益人的数据.
- 参与BIP (治疗) 的州与符合条件的非参与状态 (控制) 进行了比较,包括对非Medicaid受益者的负控制分析.
主要成果:
- 单独生活的医疗补助受益者在长期养老院住宿的比例下降了5个百分点.
- 对于与他人同居的医疗补助受益人来说,BIP与有偿非正式照顾增加了5个百分点.
- 在非医疗补助受益人负面对照组中没有观察到BIP的显著影响.
结论:
- 医疗补助平衡激励计划有效地减少了单独生活的老年人的制度化.
- BIP还加强了对多人家庭家庭家庭护理人员的支持.
- 调查结果强调,需要将长期护理政策与个人生活安排所规定的各种需求相适应.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Restorative Care
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
