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How Healthcare Interactions Contribute to Burden for Care Partners of Older Adults

机译:医疗保健互动如何为老年成年人的护理合作伙伴做出贡献

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摘要

As the aging population in the U.S. continues to grow, care partners (i.e. family and friends) are assuming increasingly intense and complex caregiving responsibilities. Care partner burden is associated with poorer health outcomes for older adults and more frequent rehospitalizations. This secondary data analysis aims to examine the relationship between different types of health care interactions and care partner burden. A total of 2,588 care partners of Medicare beneficiaries age 65 and older were included. Secondary analyses were conducted using cross-sectional data from the 2017 National Study of Caregiving. Logistic regression analyses were used to determine the relationship between health care interactions and care partner burden while controlling for demographic characteristics. The average care partner was 62 years old (range 18-98), female (68.1%), and white (62.8%). More than half of the care partners (51.3%) reported financial, emotional, and/or physical difficulty as a result of helping the older adult. Logistic regression analyses show that care partners who made medical appointments (AOR=2.04), accessed online medical information (AOR=1.55), and coordinated care between medical providers (AOR=2.15) were significantly more likely to report burden. Care partners are important allies in supporting the health of older adults but may experience excess burden due to health care interactions. Practitioners and researchers may need to evaluate ways to improve the ease, efficiency, and accessibility of different types of health care interactions for care partners of older adults. A better understanding of factors that contribute to care partner burden may inform tailored interventions and future health and aging policies.
机译:随着美国的老龄化人口持续发展,护理合作伙伴(即家庭和朋友)呈现越来越强烈和复杂的护理职责。护理合作伙伴负担与老年人的健康结果较差,更频繁的康复团结有关。该二级数据分析旨在审查不同类型的医疗保健互动和护理合作伙伴负担之间的关系。包括2,588岁的医疗保险受益人65岁及以上的伴侣。通过来自2017年全国护理研究的横截面数据进行二次分析。逻辑回归分析用于确定医疗保健相互作用与护理合作伙伴负担之间的关系,同时控制人口统计特征。平均护理伙伴62岁(范围18-98),女性(68.1%)和白色(62.8%)。超过一半的护理合作伙伴(51.3%)由于帮助老年人而言,报告了财务,情感和/或身体难度。 Logistic回归分析表明,在线医疗信息(AOR = 1.55)访问了医疗任命(AOR = 2.04)的护理合作伙伴,以及医疗提供者之间的协调护理(AOR = 2.15)显着报告负担。护理合作伙伴是支持老年人健康的重要盟友,但由于医疗保健互动,可能会遇到多余的负担。从业者和研究人员可能需要评估改善不同类型的医疗保健互动的便利,效率和可达性,以获得老年人的护理合作伙伴。更好地了解有助于护理合作伙伴负担的因素可能会通知量身定制的干预措施和未来的健康和老龄政策。

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