Chronic Care Management of Geriatric Traumatic Brain Injury

摘要 创伤性脑损伤（TBI）是老年人死亡和残疾的主要原因。目前，有一个 缺乏证据来告知老年人TBI的长期护理管理。一旦老年人回到他们的 在社区，不清楚在社区环境中接受何种类型的康复服务。显著 对住院康复期间接受的护理和熟练护理进行了研究 设施护理;但不清楚提供何种类型的家庭保健和门诊康复服务 这一增长的人口。此外，对健康的社会决定因素（SDoH）也没有得到很好的理解 对康复服务利用的影响。因此，这位指导研究科学家 发展奖（K 01）行政补充将扩大在母赠款所做的工作， 了解老年人出院后可获得哪些康复服务， 利用率差异是否由SDoH驱动。帕帕迪斯医生致力于 差异研究，并倡导多样性，公平，包容性和可访问性（DEIA）。这 补助金将用于实现以下目标：（1）描述康复服务的使用情况 在出院到社区后的TBI老年人的家庭医疗保健或门诊护理期间，以及 (2)检查健康的社会决定因素（SDoH）和康复利用之间的关联 出院后，TBI老年人在家庭医疗保健或门诊护理期间的服务 社区此外，Pappadis博士将与两名对健康差异感兴趣的学员合作 和康复护理服务。在补充期间，Pappadis博士， 学生培训生和大型康复医学中的康复专业人员网络 本组织将为导师和学员开发关于包容性辅导的学习模块。帕帕迪斯医生会 我还参加研讨会和培训，以提高她在DEIA领导和指导方面的经验， 导师与学员的关系和研究环境。这项工作的发现，以及 开发的学习单元，将与联合国教育、科学及文化组织合作，在机构内外传播。 实习生。

ABSTRACT Traumatic brain injury (TBI) is a leading cause of death and disability among older adults. Currently, there is a lack of evidence to inform long-term care management of TBI in older adults. Once older adults return to their community, it is unclear what type of rehabilitation services are received in the community setting. Significant research has been conducted regarding the care received during inpatient rehabilitation and skilled nursing facility care; however, it is unclear what type of home health and outpatient rehabilitation services are provided to this growing population. Furthermore, social determinants of health (SDoH) are not well understood, as well as their impact on utilization of rehabilitation services. Therefore, this Mentored Research Scientist Development Award (K01) administrative supplement will extend the work done in the parent grant to understand what rehabilitation services are provided to older adults once discharged to community and whether differences in utilization are driven by SDoH. Dr. Pappadis is committed to conducting health disparities research and is an advocate for diversity, equity, inclusion, and accessibility (DEIA). This supplement will be used to address the following aims: (1) Characterize the utilization of rehabilitation services during home health care or outpatient care in older adults with TBI following discharge to the community, and (2) Examine the association between social determinants of health (SDoH) and utilization of rehabilitation services during home health care or outpatient care in older adults with TBI following discharge to the community. In addition, Dr. Pappadis will work with two student trainees who are interested in health disparities and rehabilitation care delivery among older adults with TBI. During the supplement period, Dr. Pappadis, the student trainees, and a network of rehabilitation professionals within a large rehabilitation medicine organization will develop learning modules on inclusive mentoring for mentors and mentees. Dr. Pappadis will also attend workshops and trainings to enhance her experiences in DEIA leadership and mentoring to improve the mentor-mentee relationship and research environment for both. The findings from the work, as well as the developed learning modules, will be disseminated within and outside of the institution in collaboration with the student trainees.