公共卫生 公共卫生
Sakina Ouedraogo Tall1,2, Jillian Diuguid-Gerber2, Miesha Etheridge2
1New York University Grossman School of Medicine, New York, NY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
纽约市卫生和医院正在扩大阿尔茨海默氏症 (AD) 早期检测计划,将其扩展到不同患者群体. 该倡议旨在改善服务不足社区认知障碍的诊断和管理.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 阿尔茨海默病 (AD) 影响近700万美国人,种族少数群体在检测和诊断方面存在差异.
- 纽约市卫生和医院 (H+H) 是一个大型的市政卫生系统,服务于多元化的人口,并启动了AD早期检测计划.
- H+H开发了用于轻度认知障碍和痴呆症检测的算法,实施了远程医疗,并在贝尔维尤医院获得了年龄友好认可.
研究的目的:
- 将H+H的早期AD检测计划扩展到H+H/Woodhull.
- 将达沃斯阿尔茨海默氏症协作医疗保健系统准备 (DAC-SP) 纳入美国. 在伍德赫尔的早期检测奖学金计划.
主要方法:
- 在伍德赫尔老年病诊所实施年度健康访问 (AWV),然后扩展到成人初级保健诊所.
- 在AWV中使用基于图像的记忆障碍查 (PMIS) 工具和功能评估整合认知查.
- 使用电子医疗系统模板和智能短语,以便护理人员和初级保健提供者 (PCP) 提供高效的文档.
主要成果:
- 该计划旨在选伍德赫尔老年医院15%的多元患者群体,包括27.7%的黑人,58.5%的西班牙裔,3.5%的非西班牙裔白人和1.7%的亚洲患者.
- 患者人口包括72%的医疗保险,12.4%的医疗补助和12.1%的无保险人.
- 未来的计划包括将查扩展到65岁及以上的成人初级保健实践中更大,更多样化的65岁及以上患者群体.
结论:
- H+H致力于早期发现AD和相关痴呆症.
- 基于之前的成功,H+H准备将这一举措扩展到伍德赫尔和其他设施的不同患者群体.
- 扩展旨在解决差异,并改善服务不足社区的认知健康结果.
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