2000 年至 2019 年期间，痴呆患者的医疗保健使用在城乡之间的差异：魁北克基于人群的研究。
Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study.
机构信息
Researcher Centre for Research and Expertise in Social Gerontology Montreal, QC.
Junior Scientist Research Institute McGill University Health Centre Assistant Professor Department of Medicine Division of Geriatrics McGill University Montreal, QC.
出版信息
Healthc Policy. 2024 Feb;19(3):78-95. doi: 10.12927/hcpol.2024.27281.
BACKGROUND
Rural persons with dementia face medical services gaps. This study compares the health service utilization of rural and urban community-dwelling individuals with incident dementia.
METHODS
This study used a repeated annual cross-sectional cohort design spanning a period from 2000 to 2019 analyzing age-adjusted rates for 20 indicators of service use and mortality one year after diagnosis in Quebec administrative databases.
RESULTS
Of 237,259 persons, 20.1% were rural. Most rural persons had more emergency department visits and hospitalizations, shorter stays, less alternate level of care and fewer family physicians' and cognition specialists' visits. All groups had similar long-term care and mortality rates.
CONCLUSION
Policy implications of these disparities are discussed.
背景
农村痴呆症患者面临医疗服务差距。本研究比较了农村和城市社区居住的新发痴呆症患者的卫生服务利用情况。
方法
本研究使用重复年度横断面队列设计，分析了 2000 年至 2019 年期间魁北克行政数据库中 20 项服务使用和诊断后一年死亡率的指标的年龄调整率。
结果
在 237259 人中，20.1%是农村人口。大多数农村患者急诊就诊和住院次数更多，住院时间更短，接受替代护理的次数更少，家庭医生和认知专家的就诊次数也更少。所有群体的长期护理和死亡率相似。
结论
讨论了这些差异的政策含义。
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