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Health Care Service Utilization of Dementia Patients before and after Institutionalization: A Claims Data Analysis

机译：痴呆患者住院治疗前后的医疗服务利用：索赔数据分析

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Background: Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods: We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results: In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy) remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion: Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care.
机译：背景：在横断面研究中对基于社区的和机构性的痴呆症护理进行了比较，但是关于机构化对医疗服务利用的影响的纵向信息很少。方法：我们通过广义估计方程分析了651名痴呆症患者的理赔数据，以评估医疗服务利用概况和从机构化前四个季度到机构化后四个季度的相应支出。结果：在所有领域中，利用率都在制度化季度中增加。之后，药物，医疗辅助工具和非医师服务（例如职业治疗和物理疗法）的使用仍然保持较高水平，但住院和门诊治疗的使用却减少了。护理费用显示出相应的特征。结论：机构性痴呆护理似乎与对支持服务的需求增加有关，但不一定需要专门的医疗服务。

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