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国家痴呆症劳动力研究:对为痴呆症患者提供护理的社区临床医生进行调查的方法。

The National Dementia Workforce Study: Methods for Surveying Community Clinicians Who Provide Care to People With Dementia.

作者信息

White Elizabeth M, Wagner James, Stewart Kate, Guyer Heidi, Nelson Sandi, Chiong Winston, Muench Ulrike, Sideman Alissa, Gerlach Lauren B, Possin Katherine, Pettit Amy R, Rothstein Joanie, Marcus Steven C, Spetz Joanne, Maust Donovan T

机构信息

Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.

Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

J Am Geriatr Soc. 2025 Aug 8. doi: 10.1111/jgs.70037.

Abstract

People with dementia have complex medical, functional, and social needs and experience highly variable care quality and outcomes across the U.S. health care system. Community-based physicians, nurse practitioners, and physician assistants serve critical roles in diagnosing and managing dementia, yet little is known about this workforce and factors contributing to variability in care. The National Dementia Workforce Study (NDWS), sponsored by the National Institute on Aging, is conducting large nationally representative surveys of health care workers who provide care to people with dementia in nursing homes, assisted living communities, home care, and community medical practices. In this report, we summarize the methods for one of those surveys, the NDWS Community Clinician Survey, which surveys community-based physicians and advanced practice providers specializing in primary care, psychiatry, and neurology who provide clinical care to people with dementia. This survey captures comprehensive data on these clinicians, including demographics, training, and licensure; where and how they practice; their patient panels; processes of care for dementia diagnosis and management; and job factors influencing retention and turnover. These survey data can be linked with Medicare claims and other administrative data sources to allow for expansive research on this workforce and the care they provide. In turn, this will generate insights into modifiable factors that can be targeted to prepare, expand, and strengthen the clinical workforce to optimize care and meet demand for the growing population of people with dementia.

摘要

患有痴呆症的人有复杂的医疗、功能和社会需求,在美国医疗保健系统中,他们所接受的护理质量和护理结果差异很大。以社区为基础的医生、执业护士和医师助理在痴呆症的诊断和管理中发挥着关键作用,但对于这一劳动力群体以及导致护理差异的因素,我们却知之甚少。由美国国立衰老研究所赞助的全国痴呆症劳动力研究(NDWS)正在对为疗养院、辅助生活社区、家庭护理和社区医疗实践中的痴呆症患者提供护理的医护人员进行大规模的全国代表性调查。在本报告中,我们总结了其中一项调查——NDWS社区临床医生调查的方法,该调查对象是专门从事初级保健、精神病学和神经病学的以社区为基础的医生和高级执业提供者,他们为痴呆症患者提供临床护理。这项调查收集了这些临床医生的全面数据,包括人口统计学、培训和执照情况;他们的执业地点和方式;他们的患者群体;痴呆症诊断和管理护理流程;以及影响留任和人员流动的工作因素。这些调查数据可以与医疗保险理赔数据和其他行政数据源相链接,以便对这一劳动力群体及其提供的护理进行广泛研究。反过来,这将深入了解可调整的因素,这些因素可作为目标,用于培养、扩大和加强临床劳动力队伍,以优化护理并满足日益增长的痴呆症患者群体的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01fd/12645534/1888052efba7/JGS-73-3327-g002.jpg

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