Who Is Providing the Predominant Care for Older Adults With Dementia?
Who Is Providing the Predominant Care for Older Adults With Dementia?
复制标题
DOI：
10.1016/j.jamda.2016.04.026
复制
发表时间：
2016-09-01
影响因子：
7.6
通讯作者：
Bynum, Julie P. W.
中科院分区：
文献类型：
--
作者：
Yang, Mia;Chang, Chiang-Hua;Bynum, Julie P. W.
目标：确定哪些临床专业对于社区和长期护理 (LTC) 环境中痴呆症患者的护理最为核心。设计：横断面分析。参与者：年龄 >= 65 岁的痴呆症按服务收费医疗保险受益人。测量：专业，分为初级护理（内科或家庭医学、老年病学或执业护士 [NP]）与其他护理 结果：在 2,598,719 名患有痴呆症的受益人中，74% 居住在社区，80% 在初级保健中拥有 PPC。在 LTC 中，91% 的人将初级保健作为他们的 PPC，而社区中的这一比例为 77%（P
Objectives: To identify which clinical specialties are most central for care of people with dementia in the community and long-term care (LTC) settings.Design: Cross-sectional analysis.Participants: Fee-for-service Medicare beneficiaries aged >= 65 years with dementia.Measurements: Specialty, categorized into primary care (internal or family medicine, geriatrics, or nurse practitioners [NPs]) versus other specialties, of the predominant provider of care (PPC) for each patient, defined by providing the most ambulatory visits.Results: Among 2,598,719 beneficiaries with dementia, 74% lived in the community and 80% had a PPC in primary care. In LTC, 91% had primary care as their PPC compared with 77% in the community (P