Health-related outcomes 6 months after integrated care of older people with stroke in 2 different primary care settings.

IF 2.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Family practice Pub Date : 2024-06-12 DOI:10.1093/fampra/cmad021

Xuehuan Feng, Aiwen Deng, Jianhao Chen, Ribo Xiong

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引用次数: 0

Abstract

Background: Integrated care has been proven to be effective among stroke survivors. However, in China, these services mainly focus on connecting the healthcare system (acute, primary medical, and skilled) at the individual level. Closer health and social care integration is a new concept.

Objective: This study aimed to compare health-related outcomes 6 months after the implementation of the 2 integrated care models.

Methods: It was a 6-month follow-up of an open, prospectively study comparing the outcomes of a model of integrated health and social care (IHSC) versus a usual integrated healthcare (IHC) model. Outcomes were measured by Short-Form Health Survey-36 (SF-36), Modified Barthel Index (MBI), and Caregiver Strain Index (CSI) at 3 and 6 months, respectively.

Results: There were no statistically significant differences in MBI scores between patients in the 2 models either after 3 months or at the end of intervention. The same trend was not seen in Physical Components Summary, an integral component of SF-36. Patients in IHSC model scored statistically significant higher points in Mental Components Summary, another integral part of SF-36 than patients in IHC model after 6 months. Average scores of CSI were statistically significant lower for IHSC model than for IHC model after 6 months.

Conclusion: The findings suggest the need to improve the scales of integration and recognize the vital role played by social care services when designing or improving an integrated care for older people with stroke.

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在两种不同的初级医疗机构对中风老年人进行综合护理 6 个月后的健康相关结果。

背景：实践证明，综合护理对脑卒中幸存者很有效。然而，在中国，这些服务主要集中在连接个人层面的医疗保健系统（急诊、初级医疗和技术）。更紧密的医疗和社会护理整合是一个新概念：本研究旨在比较两种整合护理模式实施 6 个月后的健康相关结果：这是一项为期 6 个月的开放性、前瞻性研究，比较了医疗与社会护理一体化（IHSC）模式与常规综合医疗保健（IHC）模式的结果。研究结果分别在3个月和6个月时通过短式健康调查-36（SF-36）、改良巴特尔指数（MBI）和护理人员压力指数（CSI）进行测量：两种模式的患者在 3 个月后或干预结束时的 MBI 评分均无明显统计学差异。同样的趋势也没有出现在 SF-36 不可分割的组成部分--体能要素总结中。6个月后，IHSC模式的患者在SF-36的另一个组成部分--心理成分摘要中的得分明显高于IHC模式的患者。6个月后，IHSC模式的CSI平均得分明显低于IHC模式：研究结果表明，在为中风老年人设计或改进综合护理时，有必要改进综合护理的尺度，并认识到社会护理服务所发挥的重要作用。

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

Family practice 医学-医学：内科

CiteScore

4.30

自引率

9.10%

发文量

144

审稿时长

4-8 weeks

期刊介绍： Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.