The quality of medical care for comorbid conditions of depressed elders.
The quality of medical care for comorbid conditions of depressed elders.
复制标题
抑郁老年人共病的医疗护理质量。
DOI：
10.1080/13607860802121118
复制
发表时间：
2008
影响因子：
3.4
通讯作者：
Rubin,Eugene
中科院分区：
文献类型：
--
作者：
Hong,Song-Iee;Morrow-Howell,Nancy;Proctor,Enola;Wentz,JoanD;Rubin,Eugene
目的：鉴于医疗护理质量差异较大，本研究评估抑郁老年人的医疗护理与系统质量标准的一致程度。方法：使用Donabedian模型，评估与医疗服务适合度和医疗提供者接触这两个质量指标相关的因素。我们通过医疗服务实用指南对 110 名患有共病的抑郁老年人进行了评估。结果：我们发现医疗护理质量存在很大差异，并且两种质量衡量标准之间也存在差异。结构（Medigap 保险和临床因素）和过程因素（专业医疗就诊、急诊室就诊和非正式护理的充分性）影响医疗护理质量。 结论：强调质量测量的准确性，医疗条件的质量差异引起人们对具有某些条件的高危人群的关注，需要进行更密切的随访。适当的医疗护理流程可以提高质量。
Objectives:In light of large variation in the quality of medical care, this study assesses the extent to which medical care for depressed elders is consistent with systematic quality standards.Method:Using the Donabedian model, we assess factors related to two quality measures: medical service fit and medical provider contact. We assessed 110 depressed older adults with comorbid conditions through practical guidelines of medical services.Results:We found large variation in the quality of medical care and differences between two quality measures. Structure (Medigap insurance and clinical factors) and process factors (medical professional visits, ER visits, and adequacy of informal care) influenced the quality of medical care.Conclusion:Emphasizing accuracy in quality measures, quality disparities by medical conditions call attention to the risky population with certain conditions targeted for closer follow-up. Appropriate medical care processes can enhance the quality.