患者参与护理协调计划的预测因素
Kelechi L Adejumo1, Joseph Kakyomya1, Alison Bank1
1School of Health and Rehabilitation Science, Data Center, University of Pittsburgh, Pittsburgh, PA, USA.
Patient preference and adherence
|January 1, 2026
概括
患者参与劳动残疾计划受到工作缺席,失业,教育,自我评估健康和年龄等因素的影响. 定制策略是优化参与的关键.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 医疗服务研究 医疗服务研究
- 障碍管理 障碍管理 障碍管理
背景情况:
- 患者参与对于护理协调计划的成功至关重要,特别是对于有工作障碍的人来说.
- 了解参与的预测因素可以帮助优化计划交付和结果.
- 根据PROGRESS-Plus框架,它提供了一种全面的方法来确定相关的患者特征.
研究的目的:
- 确定患者参与护理协调计划的预测因素,以帮助劳动残疾人.
- 使用基于连续性的参与定义和PROGRESS-Plus框架进行分析.
主要方法:
- 来自佛蒙特州RETAIN第二阶段计划的非识别数据的观察分析.
- 包括429名干预参与者,提供完整的参与数据.
- 根据护理经理的评估,将患者参与度分为四个顺序级别 (没有,低,中,高).
- 使用根据 PROGRESS-Plus 框架定义的变量进行双变量和多变量顺序逻辑回归分析.
主要成果:
- 与伤害或疾病相关的工作缺席显著预测了更高的参与度 (OR = 2.87).
- 失业率 (OR = 0.43) 和较低的教育程度 (高中或以下:OR = 0.40;大学:OR = 0.52) 预计参与率较低.
- 糟糕/合理的自我评价健康 (OR = 1.87) 和年龄较大 (OR = 1.02每年) 预测了更高的参与度.
结论:
- 定制的工作残疾预防策略对于优化患者参与至关重要.
- 战略应考虑个人的健康,工作和教育情况.
- 调查结果强调需要个性化方法来协调对有工作限制的人的照顾.
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