• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >A Program to Improve Detection of Undiagnosed Dementia in Primary Care and Its Association with Healthcare Utilization
【24h】

A Program to Improve Detection of Undiagnosed Dementia in Primary Care and Its Association with Healthcare Utilization

机译：一个程序，以改善初级保健中未诊断的痴呆症的检测及其与医疗保健利用的关联

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

Objective: Alzheimer's disease and related dementias are common and costly, with increased healthcare utilization for patients with these disorders. The current study describes a novel dementia detection program for veterans and examines whether program-eligible patients have higher healthcare utilization than age-matched comparison patients. Design: Using a telephone-based case-finding approach, the detection program used risk factors available in the electronic medical record (EMR) and telephone-based brief cognitive screening. Holding illness severity constant, dementia detection and healthcare utilization were compared across age-matched groups with and without program risk factors. Setting: Five Veterans Affairs Healthcare Network Upstate New York primary care clinics. Participants: Veterans aged 70 years and older. Measurements: EMR data and the Charlson comorbidity index. Results: Program-eligible patients (n = 5,333) demonstrated significantly greater levels of medical comorbidity relative to comparison patients and were on average more than twice as likely to be admitted to the hospital. They also had nearly double the number of outpatient visits to several services. Similar patterns were seen in those who screened positive on a brief cognitive measure, compared with those who screened negative. Conclusions: A novel program using EMR data to assist in the detection of newly diagnosed dementia in a clinical setting was found to be useful in identifying older veterans with multiple comorbid medical conditions and increased utilization of hospital and clinic services. Results suggest undetected cognitive impairment and dementia may significantly contribute to healthcare utilization and costs of care in older veterans.
机译：目的：阿尔茨海默氏病和相关的痴呆症是常见且昂贵的，这些疾病患者的医疗保健利用率更高。当前的研究描述了一种针对退伍军人的新型痴呆症检测程序，并检查了符合条件的患者是否比年龄匹配的比较患者具有更高的医疗保健利用率。设计：该检测程序使用基于电话的病例查找方法，使用了电子病历（EMR）和基于电话的简短认知筛查中可用的风险因素。在有和没有项目风险因素的年龄匹配人群中，比较疾病严重程度恒定，痴呆检测和医疗保健利用率。地点：五家退伍军人事务医疗网络纽约州北部的初级保健诊所。参加者：70岁及以上的退伍军人。测量：EMR数据和查尔森合并症指数。结果：符合计划的患者（n = 5333）相对于比较患者表现出明显更高的医学合并症水平，平均入院可能性是后者的两倍以上。他们也有几次门诊就诊的次数。在简短的认知测量中筛查呈阳性的人与筛查阴性的人相似。结论：使用EMR数据在临床环境中协助检测新诊断的痴呆症的新程序被发现可用于识别患有多种合并症的老年退伍军人，并提高医院和诊所服务的利用率。结果表明，未发现的认知障碍和痴呆症可能会大大促进老年退伍军人的医疗保健利用率和护理费用。

著录项

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