[确定长期护理保险的高风险群体:使用国家医疗保险服务数据库进行的回顾性研究]
概括
这项研究在未经批准接受长期护理保险的老年人中确定了长期护理保险 (LTCI) 的高风险组. 开发的模型准确地预测了需要预防服务的个体,帮助早期干预策略.
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:
- 长期护理保险 (LTCI) 对于支持老年人至关重要.
- 识别LTCI需求的高风险个体对于资源分配和预防性护理至关重要.
- 以前用于识别高风险个体的方法有局限性.
研究的目的:
- 确定目前未获得保险批准的老年人中LTCI的高风险群体.
- 分析这些高风险群体的特定特征.
- 开发一个预测模型来识别可能在未来需要LTCI的个人.
主要方法:
- 使用国家医疗保险服务 (NHIS) 数据库进行的回顾性研究.
- 包括 7,724,101 个老年人.
- 使用78个独立变量 (个人,环境,健康状况,身体/认知能力) 来预测LTCI资格的决策树模型的开发.
主要成果:
- 开发了一个具有19个终端节点和10个风险因素的决策树模型.
- 确定了11个不同的高风险群体.
- 该模型使用NHIS数据预测大约72%的LTCI需求高风险的老年人,而不需要LTCI资格评估.
结论:
- 开发的预测模型有效地确定了LTCI需求的高风险群体.
- 这些发现支持为老年人创建基于证据的预防服务.
- 这种方法可以预先识别需要预防性护理的个体,优化健康结果和资源利用.
更多相关视频
09:00TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
5.3K
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
15.1K
相关概念视频
Interdisciplinary Care: The Health Care Team-I
2.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.6K
Interdisciplinary Care: The Health Care Team-II
2.2K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.2K
Traditional Level Of Health Care System
3.4K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K
Introduction To Health Care Delivery System
4.0K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.0K
National Nursing Organizations I
3.0K
Nursing organizations assume a significant role in consistently developing the nursing profession through education, research studies, establishing practice standards, and reforming health policies. Typically, nursing organizations operate at the regional, national, and international levels. For example, the International Council of Nurses (ICN) represents more than 28 million nurses worldwide. In contrast, the American Nurses Association (ANA) is a membership organization representing nurses...
3.0K
National Nursing Organizations II
2.0K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
2.0K
