지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 433 - 437 (5page)
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초록· 키워드
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Background and Purpose Upon referral from the primary care provider (PCP), dementia is diagnosed either by a neuropsychological evaluation (NPE) or at a multidisciplinary neurocognitive clinic (MNC). Following the NPE, patients continue receiving care from their PCP. In contrast, patients at the MNC are followed by a multidisciplinary care team that provides expertise across specialties in dementia care and education for the patient, family members, and care providers. The purpose of the study was to determine the utilization of acute healthcare services during the 2 years following a diagnosis of dementia in patients from the MNC and NPE. Methods A retrospective review was performed of 581 electronic medical records from January 2010 through December 2014 for 2 cohorts of patients diagnosed with dementia 1) by a neuropsychologist or 2) in a MNC. Acute-care hospital admissions, emergency room (ER) visits, and nonroutine PCP visits were identified. Categorical demographics and utilization variables were summarized by frequency. Chi-square analysis was used to analyze demographic characteristics and overall utilization between MNCs and NPE. Utilization in comparison with various demographic characteristics was analyzed using Spearman correlation coefficients and negative binomial regressions. Results Patients evaluated in the MNC were older, more severely impaired, and lived alone more often compared with NPE patients, but there was no increase in hospital admissions and ER visits. Patients who underwent NPE were 1.58 times more likely to have a nonroutine PCP office visit than patients evaluated in the MNC (p=0.0093). Conclusions Performing follow-up in multidisciplinary clinics provides patients with more education and may help to reduce the utilization of healthcare services.
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참고문헌 (30)
참고문헌 신청
Bynum JP / 2004 / The relationship between a dementia diagnosis, chronic illness, medicare expenditures, and hospital use / J Am Geriatr Soc 52:187~194
Feng Z / 2014 / Hospital and ED use among Medicare beneficiaries with dementia varies by setting and proximity to death / Health Aff (Millwood) 33:683~690
Bloom BS / 2004 / Cost effects of a specialized care center for people with Alzheimer’s disease / Am J Alzheimers Dis Other Demen 19:226~232
LaMantia MA / 2016 / Emergency department use among older adults with dementia / Alzheimer Dis Assoc Disord 30:35~40
Suehs BT / 2013 / The clinical and economic burden of newly diagnosed Alzheimer’s disease in a Medicare advantage population / Am J Alzheimers Dis Other Demen 28:384~392
Feng Z / 2014 / Hospital and ED use among Medicare beneficiaries with dementia varies by setting and proximity to death / Health Aff (Millwood) 33:683~690
Bloom BS / 2004 / Cost effects of a specialized care center for people with Alzheimer’s disease / Am J Alzheimers Dis Other Demen 19:226~232
LaMantia MA / 2016 / Emergency department use among older adults with dementia / Alzheimer Dis Assoc Disord 30:35~40
Suehs BT / 2013 / The clinical and economic burden of newly diagnosed Alzheimer’s disease in a Medicare advantage population / Am J Alzheimers Dis Other Demen 28:384~392
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