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相关概念视频

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
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公共卫生 公共卫生

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2020年远程医疗的扩张可能会增加在宽带接入地区的阿尔茨海默病和相关痴呆症 (ADRD) 诊断. 这表明远程医疗可以提高医疗保险受益人的ADRD诊断率.

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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:

  • 人口老龄化增加了被诊断不足的阿尔茨海默病和相关痴呆症 (ADRD) 的风险.
  • 诊断服务的有限可用性导致ADRD诊断不足.
  • 远程医疗的扩张,依赖于宽带接入,有可能改善ADRD诊断服务的可访问性.

研究的目的:

  • 调查2020年医疗保险和医疗补助服务中心 (CMS) 远程医疗扩张对县级ADRD诊断患病率的影响.
  • 检查与宽带可用性相关的收费服务 (FFS) 受益者之间的这种影响.

主要方法:

  • 使用县级生态差异差异 (DID) 设计,比较扩张前 (2016-2017) 和扩张后 (2021-2022) 时期.
  • 使用CMS数据估计ADRD患病率,并根据联邦通信委员会标准定义宽带存在.
  • 负二项回归模型评估了远程医疗扩张对宽带可访问县的ADRD患病率的影响,其中农村地区是潜在的变化因素.

主要成果:

  • 在两个时期之间,ADRD的患病率从11.06%降至7.15%.
  • 宽带可用性从70.35%增加到91.96%的县.
  • 扩张后,宽带县的ADRD患病率比没有ADRD县的ADRD患病率高出2.48%,相对于扩张前的时期.

结论:

  • 初步调查结果表明,CMS远程医疗的扩张可能会对宽带地区的ADRD诊断患病率产生积极影响.
  • 对ADRD检测的改进可能与宽带配备的县的远程医疗接入有关.
  • ADRD患病率的总体下降需要进一步调查,可能与COVID-19大流行有关.