公共卫生 公共卫生
Alexandra Mendoza-Graf1, Gabriela Castro1, Gilberto Ramos Valencia2
1RAND Corporation, Santa Monica, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
波多黎各的阿尔茨海默氏病 (AD) 患者因资金不足的医疗保健而面临重大进入障碍. 改善医疗保险和医疗补助的资金可以提高对AD患者的护理.
科学领域:
- 医疗保健获取研究研究
- 老年医学 老年医学
- 公共卫生政策 公共卫生政策
背景情况:
- 波多黎各的医疗保健系统面临着投资不足,自然灾害和较低的医疗保险优势 (MA) 支付.
- 人口老龄化和专业移民加剧了阿尔茨海默病患者面临的挑战.
- 研究了波多黎各阿尔茨海默病患者协调专业护理的障碍.
研究的目的:
- 为了确定在波多黎各获得阿尔茨海默病 (AD) 患者护理的障碍.
- 了解阿兹海默症患者及其家属护理人员的经历.
- 为医疗保健提供和政策的潜在改进提供信息.
主要方法:
- 与51名患者/护理人员进行了半结构面试.
- 采访以西班牙语进行,并根据主题进行分析.
- 分析团队满足了评估者之间的可靠性基准.
主要成果:
- 主要障碍包括神经科医生短缺,限制性医疗保险优势 (MA) 计划网络,以及缺乏对成人日间中心和个人护理等基本服务的覆盖.
- 在医疗补助计划中缺乏长期服务和支持 (LTSS) 福利,限制了获取.
- 患者和护理人员经历了漫长的等待时间,护理人员的痛苦,以及繁的纸质推流程.
结论:
- 波多黎各的阿尔茨海默氏病 (AD) 患者经历了重大未满足的需求和访问挑战.
- 对医疗保险和医疗补助计划的投资不足是这些问题的主要驱动力.
- 将融资与美国大陆的方法相协调,可以改善获得护理的机会.
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