Social service interventions for caregivers of patients with dementia: impact on health care utilization and expenditures.
Social service interventions for caregivers of patients with dementia: impact on health care utilization and expenditures.
复制标题
针对痴呆症患者护理人员的社会服务干预措施：对医疗保健利用和支出的影响。
DOI：
10.1111/j.1532-5415.1993.tb02050.x
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发表时间：
1993
影响因子：
6.3
通讯作者：
George,LK
中科院分区：
文献类型：
--
作者：
Weinberger,M;Gold,DT;Divine,GW;Cowper,PA;Hodgson,LG;Schreiner,PJ;George,LK
ObjectivesAn干预，其主要目标是加强遵守社会工作的建议，被证明产生极高的遵守率。本报告讨论了研究的次要目的：评估干预措施对短期（即，6个月）卫生服务利用和支出。设计随机对照试验。设置以大学为基础的记忆障碍诊所。进行性记忆障碍患者的护理人员。主要结果测量服务利用和支出。结果干预对卫生保健或社区资源。在研究期间，干预组的支出减少了903美元，这一差异没有达到统计学意义。结果是一致的，当控制不同的照顾者的特点，在baseline.ConclusionsAlthough干预是成功的，在提高依从性的建议，更密集的干预可能需要增加后续的服务利用率。未来的调查可能希望针对超过6个月的服务使用的适当性。
ObjectivesAn intervention, which had as its primary goal the enhancement of compliance to social work recommendations, was shown to produce extremely high rates of compliance. This report addresses the secondary objective of the study: to evaluate the impact of the intervention on short‐term (ie, 6‐month) health services utilization and expenditures.DesignRandomized controlled trial.SettingUniversity‐based memory disorders clinic.ParticipantsCaregivers of patients with progressive memory disorders.Main Outcome MeasuresService utilization and expenditures.ResultsThe intervention did not have a statistically significant impact on utilization of either health care or community resources. The intervention group had $903 less expenditures during the study period, a difference that did not achieve statistical significance. The results were consistent when controlling for caregiver characteristics that differed at baseline.ConclusionsAlthough the intervention was successful in enhancing compliance with recommendations, more intensive interventions may be required to increase subsequent service utilization. Future investigations may wish to target the appropriateness of services used over a period longer than 6 months.