公共卫生 公共卫生
Antoine R Trammell1, Rebecca McIntosh1, Alexis A Bender2
1Emory University Goizueta Alzheimer's Disease Research Center, Atlanta, GA, USA.
乔治亚记忆网络 (GMN) 诊所增加了老年非裔美国人获得阿尔茨海默病和相关痴呆症 (ADRD) 护理的机会. 此外,GMN还促进了认知障碍的早期诊断,解决了ADRD护理中的差异.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 神经学 神经学
背景情况:
- 阿尔茨海默病和相关痴呆症 (ADRD) 不成比例地影响非裔美国人 (AA) 成年人,他们在专业诊所的评估较少.
- 像"建设我们最大的痴呆症" (BOLD) 这样的联邦倡议鼓励州级的ADRD计划.
- 格鲁吉亚建立了格鲁吉亚阿尔茨海默氏症和相关痴呆症国家计划 (GARD),并于2018年资助了格鲁吉亚记忆网络 (GMN) 计划,以创建专门的记忆评估诊所.
研究的目的:
- 评估格鲁吉亚记忆网络 (GMN) 计划对ADRD护理和诊断的影响.
- 将GMN诊所的人口统计数据与全州医疗保险和医疗补助服务中心 (CMS) 服务费用 (FFS) 数据进行比较.
主要方法:
- 总结了来自GMN诊所 (2017-2024) 的综合人口,位置和诊断数据.
- 利用奇方位分析将GMN数据与全州CMS FFS数据进行比较.
主要成果:
- 转基因病毒诊所评估了2,426名患者,81%来自城市地区.
- 大多数GMN患者 (55%) 被诊断为轻度认知障碍.
- 与全州CMS FFS索赔 (29%,p < 0.01) 相比,GMN诊所评估的老年非洲裔美国人的比例更高 (57%).
结论:
- 像GMN这样的专业记忆诊所可以增加高风险人群的护理机会,包括年长的非洲裔美国人.
- 转基因核糖促进了对认知障碍的早期诊断.
- 全州对ADRD计划的投资显示出减少差距和改善早期疾病检测的潜力.
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