Bierman A S, Clancy C M
Center for Outcomes and Effectiveness Research of the Agency for Healthcare Research and Quality in Rockville, Maryland, USA.
J Am Med Womens Assoc (1972). 2001 Fall;56(4):155-9, 188.
Older women experience a high burden of chronic illness, disability, and comorbidity, and this burden is highest among socioeconomically disadvantaged and minority women. The consequences of a mismatch between the organization, delivery, and financing of health care for older women and their actual needs fall disproportionately on low-income and minority women. New sources of data, such as the Medicare Health Outcomes Survey, a new quality measure for Medicare+Choice plans, will provide valuable information to practitioners about the health and functioning of older women in general and about socioeconomically disadvantaged and minority women in particular. This information can be used to develop and implement interventions to improve the quality and outcomes of care for vulnerable subgroups of older women. There is cause for optimism that by improving the quality of clinical preventive services and the management of common chronic conditions and geriatric syndromes it will be possible to improve functional health outcomes, prevent or postpone disability, and extend active life expectancy for all older women while making progress toward eliminating health disparities among the most disadvantaged.
老年女性承受着慢性病、残疾和合并症的沉重负担，且这种负担在社会经济地位不利的女性和少数族裔女性中最为严重。老年女性的医疗保健组织、提供和融资与她们的实际需求之间不匹配所产生的后果，对低收入和少数族裔女性的影响尤为严重。新的数据来源，如医疗保险健康结果调查（Medicare Health Outcomes Survey），这是医疗保险 + 选择计划的一项新的质量衡量指标，将为从业者提供有关老年女性总体健康和功能状况的宝贵信息，特别是有关社会经济地位不利的女性和少数族裔女性的信息。这些信息可用于制定和实施干预措施，以改善老年女性弱势群体的护理质量和结果。令人乐观的是，通过提高临床预防服务的质量以及对常见慢性病和老年综合征的管理，有可能改善所有老年女性的功能健康状况，预防或推迟残疾，并延长她们的积极预期寿命，同时在消除最弱势群体之间的健康差距方面取得进展。
