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综合长期护理中新型重新激活方法的有效性——对长期护理法案的贡献

Effectiveness of New Reactivation Approaches in Integrated Long-Term Care-Contribution to the Long-Term Care Act.

作者信息

Mežnarec-Novosel Suzanna, Bogataj Marija, Bogataj David, Drobež Eneja

机构信息

Department of Social Gerontology, Alma Mater Europaea University, Slovenska 17, 2000 Maribor, Slovenia.

Institute INRISK, Kidričeva 1, 8210 Trebnje, Slovenia.

出版信息

Healthcare (Basel). 2025 May 19;13(10):1187. doi: 10.3390/healthcare13101187.

Abstract

This study evaluates the effectiveness of an innovative, integrated healthcare approach based on the "Long-term Care (LTC) in the Community" pilot project, aimed at testing solutions for the new LTC Act and associated regulations in Slovenia. It is based on a small sample, which can be financed from European project funds. This methodology is crucial for the subordinate legislation derived from the LTC Act. : We selected beneficiaries who decided to receive integrated services in their home environment in rural areas. Among 132 beneficiaries who received various care services at home, 75 beneficiaries received integrated services to maintain independence, while a control group of 57 persons did not receive these despite eligibility. The hypothesis that the new reactivation and other services to strengthen and maintain independence facilitate a transition to a lower category of LTC within the system of different states of abilities and that new approaches with integrated home care are much more successful were tested using the Z + 4 test. : Seven out of eight users' abilities were improved by an inventive approach to LTC at home, including reactivation activities, with < 0.025. The probability that the new methods will outperform the old ones for an arbitrarily selected senior eligible for LTC exceeded 0.89. Thus, we used quantitative methods to confirm the reasonableness of the decisions included in the LTC Act and will help to estimate savings in the health fund. : These positive results promote the implementation of integrated care strategies, norms, and standards, which will be further articulated in subordinate legislation.

摘要

本研究评估了一种基于“社区长期护理(LTC)”试点项目的创新型综合医疗保健方法的有效性,该项目旨在测试斯洛文尼亚新长期护理法案及相关法规的解决方案。研究基于一个小样本,其资金可由欧洲项目基金提供。这种方法对于源自长期护理法案的附属法规至关重要。我们选择了决定在农村地区家中接受综合服务的受益人。在132名在家中接受各种护理服务的受益人中,75名受益人接受了综合服务以维持独立,而57人的对照组尽管符合资格但未接受这些服务。使用Z + 4检验对新的恢复活力及其他加强和维持独立的服务有助于在不同能力状态系统内向下一级长期护理类别过渡以及综合居家护理新方法更为成功这一假设进行了测试。通过在家中采用创新的长期护理方法,包括恢复活力活动,八名使用者的能力中有七名得到了改善,P < 0.025。对于任意选择的符合长期护理资格的老年人,新方法优于旧方法的概率超过0.89。因此,我们使用定量方法来确认长期护理法案中所包含决策的合理性,并将有助于估算健康基金的节省情况。这些积极成果促进了综合护理策略、规范和标准的实施,这些将在附属法规中进一步阐述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec91/12111794/876c376a5eb4/healthcare-13-01187-g0A1.jpg

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