How long-term care quality assurance measures address dementia in Australia, England, Japan, and the United States
How long-term care quality assurance measures address dementia in Australia, England, Japan, and the United States
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澳大利亚、英国、日本和美国的长期护理质量保证措施如何应对痴呆症
DOI：
10.1016/j.ahr.2021.100013
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发表时间：
2021
影响因子：
--
通讯作者：
Igarashi Ayumi
中科院分区：
文献类型：
--
作者：
Lepore Michael;Edvardsson David;Meyer Julienne;Igarashi Ayumi
生活在长期护理（LTC）中的痴呆症患者的患病率很高，并且在国际上不断上升，并且广泛认识到需要改善痴呆症患者的LTC。在一些国家，LTC质量保证计划使用LTC质量的定量措施。为了更好地了解如何长期护理质量保证计划解决痴呆症，程序进行了审查，在四个国家-澳大利亚，英国，日本和美国。从每个程序的质量措施进行了确定（n = 38），并检查，以确定他们如何解决痴呆症。大多数措施没有解决痴呆症，但四个风险调整的痴呆症（抗精神病药物的使用，骨折，福尔斯，流动性），一个是痴呆症特异性（痴呆症/谵妄住院），一个排除痴呆症患者（失去肠道/膀胱控制）。结果表明，LTC质量测量在国际上有所不同，但很少有措施解决痴呆症。需要采取对痴呆症患者直接重要的新的质量措施，例如采取对痴呆症患者有意义的措施。
The prevalence of people with dementia living in long-term care (LTC) is high and rising internationally, and the need to improve LTC for people with dementia is widely recognized. In some countries, LTC quality assurance programs use quantitative measures of LTC quality. To better understand how LTC quality assurance programs address dementia, programs were reviewed in four countries—Australia, England, Japan, and the United States. Quality measures from each program were identified (n = 38) and examined to determine how they address dementia. Most measures did not address dementia, but four risk-adjusted for dementia (antipsychotic use, fractures, falls, mobility), one was dementia-specific (dementia/delirium hospitalizations), and one excluded people with dementia(losing bowel/bladder control). Results show LTC quality measurement differs internationally, but few measures address dementia. Needed are new quality measures of direct import for people with dementia, for example through adoption of measures that are meaningful to people with dementia.