护理院最低数据集的应用和内容:绘图审查

Barbara Hanratty, Gizdem Akdur, Jennifer Kirsty Burton, Vanessa Kirsty Davey, Claire Goodman, Adam Lee Gordon, Anne L Killett, Jennifer Liddle, Stacey Rand, Karen Spilsbury, Ann-Marie Towers
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引用次数: 0

摘要

背景:护理院的住户有着复杂的需求,而最低数据集(MDS)为他们的健康和福祉提供了独特的信息来源。虽然最低数据集最初是为了监控护理质量和成本而开发的,但它们也能为研究做出重要贡献。目的:描述护理院 MDSs 数据的研究应用,并确定所使用的关键结果变量和测量方法:设计:对已发表的使用老年人长期护理机构最低数据集所产生的数据进行实证研究的图谱回顾。方法:我们使用定制的搜索策略对电子数据库(Medline OVID、CINAHL、Embase 和 ASSIA)进行了全面搜索,以确定 2011-2024 年间的英文出版物。文章由两名独立审稿人进行筛选。文章按研究主题分组,数据(出版日期、国家、MDS、结果变量和具体项目或措施)以图表形式列出,未进行质量评估。数据的主要特征在叙述性综述中进行了描述。研究结果研究发现,2011-2024 年间共发表了 18588 篇文章,其中 661 篇符合纳入标准。其中 72% 来自美国,12% 来自加拿大,其余 16% 来自四个欧洲国家、韩国和新西兰。这些研究涵盖了住户的个人功能(如行动能力、大小便失禁)、健康状况和症状(如抑郁、疼痛)、居家医疗保健(如处方、临终关怀)、就诊和入院情况、进出护理院的过渡、护理质量和系统性问题。所使用的测量方法反映了主要 MDSs 的内容,但某些主题对护理院的重要性(如失禁)与发表论文的范围不匹配,而且在如何测量生活质量方面达成的共识有限。本分析可作为 MDS 内容和应用的指南,使研究人员能够考虑可提出的问题类型以及可评估的住户护理或体验的不同组成部分。
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Application and content of minimum data sets for care homes: A mapping review
Background: Care home residents have complex needs, and minimum data sets (MDSs) provide a unique source of information on their health and wellbeing. Although MDSs were first developed to monitor quality and costs of care, they can make an important contribution to research. Aim: To describe the research applications of data from care home MDSs, and identify key outcome variables and measures used. Design: Mapping review of published empirical studies using data generated from minimum data sets in long term care facilities for older adults. Methods: We performed a comprehensive search of electronic databases (Medline OVID, CINAHL, Embase and ASSIA), using bespoke search strategies to identify English language publications 2011 -2024. Articles were screened by two independent reviewers. They were grouped by study topic and data (on publication date, country, MDS, outcome variables and specific items or measures) were charted without quality assessment. The key features of the data are described in a narrative synthesis. Findings Searches identified 18588 articles published 2011-2024, of which 661 met inclusion criteria. 72% were from the USA, 12% from Canada and the remaining 16% from four European countries, South Korea and New Zealand. The studies encompassed individual resident functioning (e.g. mobility, incontinence), health conditions and symptoms (e.g. depression, pain), healthcare in the home (e.g. prescribing, end of life care), hospital attendances and admissions, transitions to and from care homes, quality of care and systemwide issues. Measures used reflected the content of the major MDSs, but there was a mismatch between the importance of some topics to care homes (e.g. incontinence) and the range of published papers, and limited consensus over how to measure quality of life. Conclusions Care home MDSs are a unique resource to support study of care home residents and impact of interventions over time. They are a powerful resource when linked to other datasets, and as an adjunct to primary data collection This analysis may serve as an accessible guide to the content and applications of MDS, allowing researchers to consider the sort of questions that can be posed and the different components of resident care or experience that can be evaluated.
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