公共卫生 公共卫生
James Galske1, Jonathan Martindale2, Julie Bynum2
1University of Connecticut School of Medicine, Farmington, CT, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
在医疗保险受益者中,阿尔茨海默氏症和相关痴呆症 (ADRD) 患者约占每6次急诊室 (ED) 访问中的1次. 这种利用率在老年人 (85岁以上) 和双重资格人口中不成比例地高.
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:
- 对于阿尔茨海默氏症和相关痴呆症 (ADRD) 的急诊室 (ED) 访问正在增加.
- 对于ADRD患者高ED利用的关键风险因素的知识有限.
- 了解人口和ED级别的因素对于有针对性的干预至关重要.
研究的目的:
- 在医疗保险受益者中量化ADRD患者在ED访问的比例.
- 确定患者和ED水平的特征,与该人口中ED使用率增加有关.
主要方法:
- 使用2019年医疗保险B部分索赔数据进行横截面研究.
- 使用Bynum标准算法识别了ADRD患者.
- 分析了人口因素 (年龄,性别,种族,双重资格) 和ED特征 (地区,规模,教学地位,所有权).
主要成果:
- 患有ADRD的人占医疗保险受益人所有ED访问的中位数15.6%.
- 在85岁以上的患者中,ADRD患者占ED访问的32.2%,在双重资格受益者中占30.6%.
- 根据年龄,双重资格状况,地理区域,医院规模和教学状况,ED访问比例有很大差异.
结论:
- 患有ADRD的人占ED访问的很大一部分,特别是在最年长和双重资格的医疗保险受益者中.
- 未来的研究应该调查这些ED访问的具体原因及其与痴呆症护理模式的关系.
- 优化资源配置和制定有针对性的干预措施对于管理ADRD患者的ED利用是必不可少的.
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