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首页> 外文期刊>Frontiers in Public Health >Functional and Cognitive Impairments Increased Risks of Outcomes of Healthcare Utilization in Patients With Stroke Receiving Home and Community-Based Care in Taiwan
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Functional and Cognitive Impairments Increased Risks of Outcomes of Healthcare Utilization in Patients With Stroke Receiving Home and Community-Based Care in Taiwan

机译：功能性和认知障碍增加了在台湾接收家庭和社区护理的中风患者的医疗利用结果的风险

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Aim: Stroke is a leading cause of disability; however, little is known about the outcomes of the utilization of long-term care (LTC) recipients in Taiwan. This study aimed to quantify the burdens of disease of stroke survivors receiving LTC by evaluating the outcomes of their utilization including mortality, readmissions, and re-emergency within 1 year after diagnoses of strokes. Methods: By interlinkages among the national mortality registry, LTC dataset (LTC-CM), and the National Health Insurance Research Dataset (NHIRD), the outcomes and the factors associated with receiving LTC up to 1 year were explored. Patients were aged 50 years and over with an inpatient claim of the first diagnosis of stroke of intracerebral hemorrhage (ICH) and ischemic stroke during 2011–2016. Outcomes of the healthcare utilization include rehospitalization and re-emergency. Results: There were 15,662 patients with stroke who utilized the LTC services in the dataset among the stroke population in NHIRD. Stroke survivors receiving LTC showed no difference in clinical characteristics and their expected years of life loss (EYLL = 7.4 years) among those encountered in NHIRD. The LTC recipients showed high possibilities to be rehospitalized and resent to emergency service within 1 year after diagnosis. Apart from the comorbidity and stroke severity, both the physical and mental functional disabilities and caregiving resources predicted the outcomes of the utilization. Conclusions: For stroke survivors, both severe functional impairments and cognitive impairments were found as important factors for healthcare utilizations. These results regarding reserving functional abilities deserve our consideration in making the decision on the ongoing LTC policy reform in the aged society of Taiwan.
机译：目的：中风是残疾的主要原因;然而，对于台湾的长期护理（LTC）接受者的利用而言，很少见过。本研究旨在通过在诊断后1年内评估其使用的结果，通过评估其使用的脱发幸存者疾病的负担，包括死亡率，入伍和重新紧急情况。方法：通过国家死亡率登记处的互联，LTC数据集（LTC-CM）和国家健康保险研究数据集（NHIRD），结果和接受LTC相关的因素，最多为1年。患者年龄50岁及以上，具有在2011-2016期间脑出血（ICH）和缺血性卒中中风的第一次诊断的住院呼吸项。医疗保健利用的结果包括再次生长和再紧急情况。结果：中风有15,662名患者，在纳米尔中的中风人口中利用LTC服务。接受LTC的中风幸存者显示临床特征的差异及其预期患有纳尔遇到的人寿损失（Eyll = 7.4岁）。 LTC接收者显示出高可能在诊断后1年内重新获得生命并在急诊服务中怨恨。除了合并和中风严重程度之外，身体和精神功能障碍和护理资源都预测了利用的结果。结论：对于中风幸存者，严重的功能性损伤和认知障碍被认为是医疗保健利用的重要因素。关于保留职能能力的这些结果应考虑到制定台湾老年社持续的LTC政策改革决定。

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