Access to Home and Community Health Services for Older Adults With Serious, Life-Limiting Illness: A Study Protocol.
Access to Home and Community Health Services for Older Adults With Serious, Life-Limiting Illness: A Study Protocol.
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DOI：
10.1177/1049909120920230
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Grudzen CR
中科院分区：
文献类型：
--
作者：
Hill JD;Cuthel AM;Grudzen CR
本研究的目的是确定家庭和社区卫生服务的背景因素，为患有严重限制生命疾病的老年人提供临终支持，并确定家庭和社区服务的获得是否与医疗保健利用相关。这项研究包括环境扫描、灰色文献综述、定性访谈和医疗保健利用分析。这项研究是 Grudzen 等人的一个子项目。急诊医学初级姑息治疗 (PRIM-ER) 研究。分析将包括从实施 PRIM-ER 干预措施的 17 个卫生系统收集数据。对于定性访谈，将从 17 个参与的卫生系统中分别采访一名急诊医学 (EM) 医生和一名急诊科护士。对于医疗保健利用率分析，我们将使用高级护理服务量表 (SCSS)、美国医院协会医院年度调查 (AHA-ASH) 以及每个参与医疗系统就诊的所有因严重疾病而就诊的医疗保险索赔。背景分析将获取有关家庭和社区服务的数据，例如临终关怀、家庭健康服务、辅助生活、综合医学服务等，这些数据可在每个卫生系统最高数量的急诊室、影响服务获取的联邦和州法规以及急诊服务提供者对服务获取的观点等方面获得。医疗保健利用率分析将确定衡量服务可用性的 SCSS 分数是否与医疗保健利用率相关。 SCSS 分数的高低是通过将 AHA-ASH 上的卫生系统服务可用性与国家 SCSS 中值进行比较来确定的。
The objective of this study is to identify contextual access factors to home and community health services for end-of-life support for older adults with serious life-limiting illness, as well as determine if access to home and community services is associated with healthcare utilization. This study includes an environmental scan, grey literature review, qualitative interviews, and healthcare utilization analysis. This study is a sub-project of the Grudzen et al. Primary Palliative Care for Emergency Medicine (PRIM-ER) study. Analysis will include data collection from 17 health systems implementing the PRIM-ER intervention. For the qualitative interviews, one emergency medicine (EM) physician and one EM nurse will be interviewed from each of the 17 participating health systems. For the healthcare utilization analysis, we will use the Senior Care Services Scale (SCSS), American Hospital Association Annual Survey of Hospitals (AHA-ASH), and Medicare claims for all ED visits for serious illness who present at each participating health system. The contextual analysis will obtain data on home and community services such as hospice, home health services, assisted living, integrative medicine services, etc., available around each health system’s highest volume ED, federal and state regulations influencing access to services, as well as EM provider perspectives on access to services. The healthcare utilization analysis will determine if SCSS scores, which measure service availability, are associated with healthcare usage. High or low SCSS scores are determined by comparing health system service availability on the AHA-ASH to the national median SCSS value.
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影响因子：
2.9
作者：
Grudzen, Corita R.;Brody, Abraham A.;Zimny, Erin
通讯作者：
Zimny, Erin
影响因子：
3
作者：
Arbaje, Alicia I.;Yu, Qilu;Leff, Bruce
通讯作者：
Leff, Bruce
影响因子：
3.3
作者：
Leong, Madeline;Smith, Thomas J.;Rowland-Seymour, Anastasia
通讯作者：
Rowland-Seymour, Anastasia
DOI：
10.1046/j.1532-5415.2003.51562.x
发表时间：
2003-12-01
影响因子：
6.3
作者：
Sternberg, SA;Chandran, A;Sikka, M
通讯作者：
Sikka, M
影响因子：
7.2
作者：
Groden, Sheryl R.;Woodward, Amanda Toler;Taylor, Robert Joseph
通讯作者：
Taylor, Robert Joseph