• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Health services use and health status among people with diabetes mellitus and cardiovascular diseases.
【24h】

Health services use and health status among people with diabetes mellitus and cardiovascular diseases.

机译：糖尿病和心血管疾病患者的健康服务使用和健康状况。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In the United States, Diabetes Mellitus (DM) becomes an important public health issue and has a great impact on health care costs. Diabetic patients are at a higher risk of developing cardiovascular diseases (CVD) compared to people without DM. This study adopted the Andersen's Behavioral Model of Health Services Utilization as a framework to examine health services uses and to further identify the association of health services uses and subsequent health outcomes within a representative sample of community-dwelling adults aged 51 years and older through a longitudinal analysis of the Health and Retirement Study data from 1998 through 2008. Results showed that less discretionary health services use (hospitalization and home health care) was more likely to be influenced by need factors. More discretionary health services use (doctor visits) was more likely to be influenced by predisposing factors. Although most health services uses were associated with worse or declined status in activities of daily living (ADL), instrumental activities of daily living (IADL), or self-rated health, certain health services use were found to be associated with less worse or not declined health status. The use of outpatient surgery among people with CVD only and the use of home health care among people with DM and CVD were associated with not declined IADL and self-rated health, respectively. In addition, the association between nursing home care and ADL, prescription drug use and IADL, and home health care and self-rated health was found to be different by health groups. Most health services uses were associated with higher risk of 10-year mortality. People with DM and CVD had the greater hazard to death compared with people with DM only. The association between mortality and doctor visits after baseline, and hospitalizations after baseline was different by health groups. Our study findings can provide health care professionals and health care administrators the insight required for improving the health care practice and the quality of health care in the U.S.
机译：在美国，糖尿病（DM）成为重要的公共卫生问题，并且对医疗保健成本产生很大影响。与没有DM的人相比，糖尿病患者患心血管疾病（CVD）的风险更高。这项研究采用了安德森（Andersen）的《卫生服务利用行为模型》作为框架，以检查卫生服务的使用，并通过纵向调查，在51岁及以上的社区居民成年人代表性样本中进一步确定卫生服务的使用与后续健康结果之间的关联。对1998年至2008年健康与退休研究数据的分析。结果表明，较少的可自由支配的医疗服务使用（住院和家庭保健）受需求因素的影响更大。随意性医疗服务的更多使用（医生就诊）更容易受到易患因素的影响。尽管大多数卫生服务的使用与日常生活活动（ADL）的状况恶化或下降，日常生活的工具性活动（IADL）或自我评估的健康状况相关，但发现某些卫生服务的使用与病情恶化程度或不较轻相关健康状况下降。仅在CVD患者中使用门诊手术以及在DM和CVD患者中使用家庭保健分别与IADL和自测健康没有下降有关。此外，健康组发现养老院护理与ADL，处方药使用与IADL，家庭保健与自我评估健康之间的关联是不同的。大多数医疗服务用途与10年死亡率较高的风险有关。与仅患有DM的人相比，患有DM和CVD的人的死亡危险更大。基线后，死亡率与就诊次数以及基线后住院次数之间的关联因健康组而异。我们的研究结果可为医疗保健专业人员和医疗保健管理员提供改善美国医疗保健实践和医疗保健质量所需的见识。

著录项

  • 作者

    Li, Chien-Ching.;

  • 作者单位

    Saint Louis University.;

  • 授予单位 Saint Louis University.;
  • 学科 Public health.;Epidemiology.;Health care management.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 100 p.
  • 总页数 100
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号