患有SCI的老年人的医疗服务需求和利用:跨国比较
Diana Pacheco Barzallo1, Alessio Baricich2, Maria Paz Grisales3
1Health Economics & Services Group, Swiss Paraplegic Research, Nottwil, Switzerland; Faculty of Health Sciences & Medicine, University of Lucerne, Lucerne, Switzerland.
Archives of physical medicine and rehabilitation
|January 23, 2026
概括
脊髓损伤/疾病 (SCI/D) 患者在一生中始终使用重要的医疗保健服务,这是由于二次健康状况. 医疗保健需求随着年龄的增长而演变,强调全球需要终身,多学科的护理.
科学领域:
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 脊髓损伤/疾病 (SCI/D) 导致慢性二次健康状况,影响长期医疗保健需求.
- 了解医疗服务利用模式对于SCI/D的有效终身管理至关重要.
- 全球关于SCI/D医疗保健利用率的数据有限,特别是来自低收入和中等收入国家.
研究的目的:
- 在SCI/D.患者中绘制和分析医疗保健服务的使用情况.
- 根据报告的健康状况和年龄组,识别服务使用的变化.
- 为SCI/D医疗保健需求提供全球视角.
主要方法:
- 采用两项大型InSCI社区调查 (2017-2019年和2022-2024年) 的数据进行的跨部门,跨国,观察性队列研究.
- 分析了来自36个国家的27642名创伤性或非创伤性SCI的18岁以上生活在社区的个体的数据.
- 对十种类型的医疗保健提供者的利用情况进行评估,包括初级保健,康复专家,住院服务和相关卫生专业人员.
主要成果:
- 患有SCI/D的个人报告了许多次要健康状况,推动了大量的医疗保健利用.
- 最常访问的提供者包括全科医生 (59.2%),住院服务 (48.5%),物理治疗师 (43.5%),以及康复医生 (40.4%).
- 医疗保健需求通常随着年龄的增长而增加,尽管利用模式在各国之间显示出稳定性,收入水平之间存在差异.
结论:
- 在SCI/D人群中,医疗保健的使用率在整个生命中仍然很高,这凸显了二次健康状况的持续负担.
- 虽然特定的提供者需求可能会随着年龄的增长而变化,但对多学科护理的要求是终身的.
- 这项研究强调,需要在全球范围内规划持续获得基本医疗保健提供者的机会,以适应不断变化的健康状况,特别是在研究不足的地区.
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