潜在可预防住院病例的基于年龄和残疾的趋势:来自韩国全国索赔数据的证据
Hyejung Yoon1, Boyoung Jeon2, Seyune Lee1
1Korea National Open University, Seoul , Korea.
Epidemiology and health
|March 5, 2026
概括
在韩国,残疾人和没有残疾人的潜在可预防住院病例 (PPH) 减少. 然而,残疾老年人仍然面临更高的住院风险,需要改善初级保健服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
- 老年医学 老年医学
背景情况:
- 与普通人群相比,残疾人住院率更高.
- 潜在可预防的住院病例 (PPH) 是医疗保健质量和获得医疗保健的关键指标.
- 了解不同人群中PPH的趋势对于有针对性的健康干预至关重要.
研究的目的:
- 分析韩国潜在可预防住院病例 (PPH) 的十年趋势.
- 为了比较残疾人和没有残疾人之间的PPH率.
- 评估不同残疾状况的PPH年龄特定模式.
主要方法:
- 利用国家健康信息数据库,从2010年至2019年的索赔数据.
- 建立了一个残疾人的固定队列,并匹配对照.
- 计算了年龄和性别标准化的PPH年率,并使用年度百分比变化 (APC) 分析了趋势.
主要成果:
- 在2010年至2019年期间,PPH率在两组中都显著下降.
- 患有高血压的人群中,PPH的下降幅度在残疾人中最为明显 (-15.7% APC).
- 非老年人 (30-64岁) 的PPH下降幅度更大;残疾老年人保持最高的比例.
结论:
- 潜在可预防的住院率在过去十年中在残疾人和无残疾人中有所下降.
- 显著的差异仍然存在,特别是在残疾老年人中,这凸显了改善社区基础初级保健的需要.
- 有针对性的策略至关重要,以减轻脆弱人群中住院风险的增加.
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