Rural-Urban Differences in Healthcare Use in Persons With Dementia Between 2000 and 2019: A Quebec Population-Based Study.

Q2 Medicine

Healthcare Policy Pub Date : 2024-02-01 DOI:10.12927/hcpol.2024.27281

Geneviève Arsenault-Lapierre, Claire Godard-Sebillotte, Tammy Bui, Nadia Sourial, Louis Rochette, Victoria Massamba, Caroline Sirois, Julie Kosteniuk, Debra Morgan, Amélie Quesnel-Vallée, Isabelle Vedel

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引用次数: 0

Abstract

Background: Rural persons with dementia face medical services gaps. This study compares the health service utilization of rural and urban community-dwelling individuals with incident dementia.

Methods: This study used a repeated annual cross-sectional cohort design spanning a period from 2000 to 2019 analyzing age-adjusted rates for 20 indicators of service use and mortality one year after diagnosis in Quebec administrative databases.

Results: Of 237,259 persons, 20.1% were rural. Most rural persons had more emergency department visits and hospitalizations, shorter stays, less alternate level of care and fewer family physicians' and cognition specialists' visits. All groups had similar long-term care and mortality rates.

Conclusion: Policy implications of these disparities are discussed.

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2000 年至 2019 年痴呆症患者使用医疗服务的城乡差异：一项基于魁北克人口的研究。

背景：农村痴呆症患者面临着医疗服务缺口。本研究比较了农村和城市社区痴呆症患者的医疗服务利用情况：本研究采用重复年度横断面队列设计，时间跨度为 2000 年至 2019 年，分析了魁北克行政数据库中 20 项服务使用指标的年龄调整率和诊断后一年的死亡率：在237 259人中，20.1%为农村人口。大多数农村居民在急诊室就诊和住院的次数较多，住院时间较短，接受替代护理的次数较少，家庭医生和认知专家的就诊次数较少。所有群体的长期护理率和死亡率相似：讨论了这些差异对政策的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Healthcare Policy Medicine-Health Policy

CiteScore

3.20

自引率

0.00%

发文量