University of Central Florida, Orlando, USA.
Texas A&M University, College Station, USA.
J Aging Health. 2020 Jun/Jul;32(5-6):328-339. doi: 10.1177/0898264318822381. Epub 2019 Jan 7.
Given that one in four older adults suffer potentially preventable falls annually, we aimed to identify areas with (a) delivery gaps of evidence-based programs (EBPs) targeting fall prevention among older adults, namely A Matter of Balance (AMOB), and (b) high rates of fall-related hospitalizations-hotspots. Analyses included multiple geospatially linked datasets. EBPs were delivered ≥1 time in 84 counties in 2012 and 90 counties in 2014. Factors associated with EPB delivery gaps (absence; <.05) included high-density older adult areas, non-fall-related hospitalization hotspots, lower population density, nonmetropolitan areas, high-density Hispanic adult areas, and areas with limited access to home health care agencies. Hotspots for fall-related hospitalization numbered 64 in 2012 and 62 in 2014. Factors associated with hotspots included low-density older adult areas, having AMOB delivered ≥1 time annually, high population density, and high-density Hispanic adult areas. In resource-finite settings (e.g., the aging services sector), identifying high priority areas allows for precise allocation of limited resources.
鉴于每年有四分之一的老年人可能会遭受可预防的跌倒，我们旨在确定（a）在为老年人预防跌倒提供循证方案（EBP）方面存在服务差距的领域，即平衡问题（AMOB），以及（b）与跌倒相关的高住院率热点地区。分析包括多个地理空间链接的数据集。2012 年有 84 个县至少提供了 1 次 EBP，2014 年有 90 个县提供了 1 次以上。与 EBP 提供差距（不存在；<.05）相关的因素包括：高密度老年人口地区、与跌倒无关的住院热点地区、较低的人口密度、非城市地区、高密度西班牙裔成年人地区、以及家庭医疗保健机构服务不足的地区。2012 年与跌倒相关的住院热点地区有 64 个，2014 年有 62 个。与热点地区相关的因素包括：低密度老年人口地区、每年至少提供 1 次 AMOB、人口密度高、以及高密度西班牙裔成年人地区。在资源有限的情况下（例如，老龄化服务部门），确定高优先级地区可以精确分配有限的资源。
