美国医院的阿尔茨海默氏症中心：是否足以在全国范围内充分解决痴呆症护理问题？

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-08-01 Epub Date: 2023-09-12 DOI:10.1177/08982643231200691

Ángela Gutiérrez, Cory E Cronin, Berkeley Franz, Graciela Muniz-Terrera

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引用次数: 0

摘要

目的调查美国医院是否设有阿尔茨海默氏症中心（AC）。方法：利用美国医院协会年度调查、地区卫生资源档案和美国人口普查（n = 325 人）：利用美国医院协会年度调查、地区卫生资源档案和美国人口普查（n = 3251），我们采用多变量逻辑回归法来研究医院、县和地区的阿尔茨海默病中心可用性预测因素。结果如下大型医院（床位数大于 399 张）拥有 AC 的几率大约是小型医院的 14 倍（讨论）：要解决痴呆症的需求和差异问题，对国家基础设施的投资至关重要。

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Alzheimer's Centers in US Hospitals: Enough to Adequately Address Dementia Care Nationwide?

Objectives: To investigate the availability of Alzheimer's Centers (ACs) in US hospitals. Methods: Utilizing the American Hospital Association Annual Survey, Area Health Resource File, and US Census (n = 3251), we employed multivariable logistic regression to examine hospital, county, and regional predictors of AC availability. Results: Large hospitals (>399 beds) had approximately 14 times higher odds of having an AC than small hospitals (<50 beds; OR = 14.0; 95% CI = 6.44 - 30.46). Counties with a higher proportion of Latino residents, relative to non-Latino Whites, had lower odds of having an AC (OR = .05; 95% CI = .01 - .41). Northeastern (OR = 1.92; 95% CI = 1.15 - 3.22) and Midwestern (OR = 2.12; 95% CI = 1.34 - 3.37) hospitals had higher odds of having an AC than Southern hospitals. Discussion: To address dementia needs and disparities, investment in a national infrastructure is critical.

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.