老年人在社会护理环境中使用急救护理的差异：国际证据的系统评价。
Variations in older people's emergency care use by social care setting: a systematic review of international evidence.
机构信息
Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Biomedical Research Building (Second Floor), Newcastle upon Tyne NE1 7RU, UK.
Department of Mathematical Sciences, Mathematical Sciences & Computer Science Building, Durham University, Upper Mountjoy Campus, Stockton Road, Durham, DH1 3LE, UK.
出版信息
Br Med Bull. 2024 Mar 13;149(1):32-44. doi: 10.1093/bmb/ldad033.
BACKGROUND
Older adults' use of social care and their healthcare utilization are closely related. Residents of care homes access emergency care more often than the wider older population; however, less is known about emergency care use across other social care settings.
SOURCES OF DATA
A systematic review was conducted, searching six electronic databases between January 2012 and February 2022.
AREAS OF AGREEMENT
Older people access emergency care from a variety of community settings.
AREAS OF CONTROVERSY
Differences in study design contributed to high variation observed between studies.
GROWING POINTS
Although data were limited, findings suggest that emergency hospital attendance is lowest from nursing homes and highest from assisted living facilities, whilst emergency admissions varied little by social care setting.
AREAS TIMELY FOR DEVELOPING RESEARCH
There is a paucity of published research on emergency hospital use from social care settings, particularly home care and assisted living facilities. More attention is needed on this area, with standardized definitions to enable comparisons between studies.
背景
老年人对社会护理的使用与他们的医疗保健利用密切相关。养老院的居民比更广泛的老年人群更频繁地使用紧急护理；然而，对于其他社会护理环境中的紧急护理使用情况，人们知之甚少。
资料来源
系统评价，于 2012 年 1 月至 2022 年 2 月期间在六个电子数据库中进行了搜索。
意见一致的领域
老年人从各种社区环境中获得紧急护理。
争议领域
研究设计的差异导致观察到的研究之间存在高度差异。
新的研究领域
虽然数据有限，但研究结果表明，从养老院获得急诊医院就诊的人数最少，从辅助生活设施获得的人数最多，而急诊入院情况因社会护理环境而异。
需要发展研究的领域
关于社会护理环境中急诊医院使用的研究很少，尤其是家庭护理和辅助生活设施。需要更多关注这一领域，并制定标准化定义，以便在研究之间进行比较。
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