{"title":"使用预先护理计划和认知评估以及护理计划服务访问的趋势：向社区居住的痴呆症患者及其护理人员的门诊护理采取姑息治疗知情方法","authors":"Jennifer B. Seaman, Yurun Cai, Dianxu Ren","doi":"10.1002/alz.70074","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> INTRODUCTION</h3>\n \n <p>Both the advance care planning (ACP) visit and cognitive assessment and care planning service (CAACPS) visit offer palliative-oriented care for persons with Alzheimer's disease and related dementias (ADRD); however, the rate of ACP visits remains low, and little has been reported regarding CAACPS visits. Furthermore, few reports describe use of either visit among Medicare Advantage (MA) beneficiaries. This study describes provision of ACP and CAACPS visits to community-dwelling older adult MA beneficiaries with ADRD.</p>\n </section>\n \n <section>\n \n <h3> METHODS</h3>\n \n <p>Using deidentified Optum Clinformatics Data Mart claims data, we evaluated ambulatory care visits for community-dwelling older adult MA beneficiaries with ADRD for the years 2018 to 2019.</p>\n </section>\n \n <section>\n \n <h3> RESULTS</h3>\n \n <p>For 2018 and 2019, 3.5% and 5.4% received ACP visits, and 0.4% and 0.5% received CAACPS visits, similar to use reported elsewhere.</p>\n </section>\n \n <section>\n \n <h3> DISCUSSION</h3>\n \n <p>Few MA beneficiaries with ADRD received ACP or CAACPS visits, and the delivery of CAACPs visits is similar to that reported for non-MA beneficiaries.</p>\n </section>\n \n <section>\n \n <h3> Highlights</h3>\n \n <div>\n <ul>\n \n <li>Most persons with dementia are community-dwelling and disproportionately disadvantaged.</li>\n \n <li>Access to palliative care is limited for community-dwelling persons with dementia.</li>\n \n <li>CAACPS visits may address this gap.</li>\n \n <li>Our findings show the use of CAACPS visits is very low.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":7471,"journal":{"name":"Alzheimer's & Dementia","volume":"21 4","pages":""},"PeriodicalIF":13.0000,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70074","citationCount":"0","resultStr":"{\"title\":\"Trends in the use of advance care planning and cognitive assessment and care planning service visits: moving toward a palliative-informed approach for ambulatory care of community-dwelling persons with dementia and their caregivers\",\"authors\":\"Jennifer B. Seaman, Yurun Cai, Dianxu Ren\",\"doi\":\"10.1002/alz.70074\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> INTRODUCTION</h3>\\n \\n <p>Both the advance care planning (ACP) visit and cognitive assessment and care planning service (CAACPS) visit offer palliative-oriented care for persons with Alzheimer's disease and related dementias (ADRD); however, the rate of ACP visits remains low, and little has been reported regarding CAACPS visits. Furthermore, few reports describe use of either visit among Medicare Advantage (MA) beneficiaries. This study describes provision of ACP and CAACPS visits to community-dwelling older adult MA beneficiaries with ADRD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> METHODS</h3>\\n \\n <p>Using deidentified Optum Clinformatics Data Mart claims data, we evaluated ambulatory care visits for community-dwelling older adult MA beneficiaries with ADRD for the years 2018 to 2019.</p>\\n </section>\\n \\n <section>\\n \\n <h3> RESULTS</h3>\\n \\n <p>For 2018 and 2019, 3.5% and 5.4% received ACP visits, and 0.4% and 0.5% received CAACPS visits, similar to use reported elsewhere.</p>\\n </section>\\n \\n <section>\\n \\n <h3> DISCUSSION</h3>\\n \\n <p>Few MA beneficiaries with ADRD received ACP or CAACPS visits, and the delivery of CAACPs visits is similar to that reported for non-MA beneficiaries.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Highlights</h3>\\n \\n <div>\\n <ul>\\n \\n <li>Most persons with dementia are community-dwelling and disproportionately disadvantaged.</li>\\n \\n <li>Access to palliative care is limited for community-dwelling persons with dementia.</li>\\n \\n <li>CAACPS visits may address this gap.</li>\\n \\n <li>Our findings show the use of CAACPS visits is very low.</li>\\n </ul>\\n </div>\\n </section>\\n </div>\",\"PeriodicalId\":7471,\"journal\":{\"name\":\"Alzheimer's & Dementia\",\"volume\":\"21 4\",\"pages\":\"\"},\"PeriodicalIF\":13.0000,\"publicationDate\":\"2025-04-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/alz.70074\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alzheimer's & Dementia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/alz.70074\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alzheimer's & Dementia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/alz.70074","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Trends in the use of advance care planning and cognitive assessment and care planning service visits: moving toward a palliative-informed approach for ambulatory care of community-dwelling persons with dementia and their caregivers
INTRODUCTION
Both the advance care planning (ACP) visit and cognitive assessment and care planning service (CAACPS) visit offer palliative-oriented care for persons with Alzheimer's disease and related dementias (ADRD); however, the rate of ACP visits remains low, and little has been reported regarding CAACPS visits. Furthermore, few reports describe use of either visit among Medicare Advantage (MA) beneficiaries. This study describes provision of ACP and CAACPS visits to community-dwelling older adult MA beneficiaries with ADRD.
METHODS
Using deidentified Optum Clinformatics Data Mart claims data, we evaluated ambulatory care visits for community-dwelling older adult MA beneficiaries with ADRD for the years 2018 to 2019.
RESULTS
For 2018 and 2019, 3.5% and 5.4% received ACP visits, and 0.4% and 0.5% received CAACPS visits, similar to use reported elsewhere.
DISCUSSION
Few MA beneficiaries with ADRD received ACP or CAACPS visits, and the delivery of CAACPs visits is similar to that reported for non-MA beneficiaries.
Highlights
Most persons with dementia are community-dwelling and disproportionately disadvantaged.
Access to palliative care is limited for community-dwelling persons with dementia.
CAACPS visits may address this gap.
Our findings show the use of CAACPS visits is very low.
期刊介绍：
Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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