The Impact of Ambulatory Dementia Care Models on Hospitalization of Persons Living With Dementia: A Systematic Review.

The Impact of Ambulatory Dementia Care Models on Hospitalization of Persons Living With Dementia: A Systematic Review.
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DOI:
10.1177/01640275211053239
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发表时间:
2022-08
期刊:
影响因子:
2.6
通讯作者:
Poghosyan L
Poghosyan L
中科院分区:
法学3区
文献类型:
--
作者:
Hovsepian V;Bilazarian A;Schlak AE;Sadak T;Poghosyan L

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本系统性综述概述了现有的痴呆症护理模式,在各种门诊护理设置分为三类(即,家庭和社区护理模式、卫生系统与社区资源之间的伙伴关系以及咨询模式)及其对痴呆症患者住院治疗的影响。应用PRISMA指南,我们的搜索结果总共有13项研究,重点是11种护理模式。7项研究报告,痴呆症护理模式的利用与社区居住的PLWD住院率的适度减少有关。只有两项研究报告了具有统计学意义的结果。痴呆症护理模式,用于专业门诊护理设置,如记忆护理显示出更有前途的结果比传统的初级保健。为了更好地了解如何改善痴呆症护理模式,未来的研究应该探索混杂因素(例如,痴呆阶段)影响住院治疗。
This systematic review presents an overview of the existing dementia care models in various ambulatory care settings under three categories (i.e., home- and community-based care models, partnership between health systems and community-based resources, and consultation models) and their impact on hospitalization among Persons Living with Dementia (PLWD). PRISMA guidelines were applied, and our search resulted in a total of 13 studies focusing on 11 care models. Seven studies reported that utilization of dementia care models was associated with a modest reduction in hospitalization among community-residing PLWD. Only two studies reported statistically significant results. Dementia care models that were utilized in specialty ambulatory care settings such as memory care showed more promising results than traditional primary care. To develop a better understanding of how dementia care models can be improved, future studies should explore how confounders (e.g., stage of dementia) influence hospitalization.
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