Comparative Study Healthcare policy = Politiques de sante. 2024 Feb;19(3):78-95. doi: 10.12927/hcpol.2024.27281 0.02024

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

2000至2019年魁北克痴呆症患者医疗保健利用的城乡差异：基于人口的研究翻译改进

Geneviève Arsenault-Lapierre¹, Claire Godard-Sebillotte², Tammy Bui³, Nadia Sourial⁴, Louis Rochette⁵, Victoria Massamba⁶, Caroline Sirois⁷, Julie Kosteniuk⁸, Debra Morgan⁹, Amélie Quesnel-Vallée¹⁰, Isabelle Vedel¹¹

作者单位 +展开

作者单位

¹ Researcher Centre for Research and Expertise in Social Gerontology Montreal, QC.

² Junior Scientist Research Institute McGill University Health Centre Assistant Professor Department of Medicine Division of Geriatrics McGill University Montreal, QC.

³ Research Assistant Lady Davis Institute for Medical Research Jewish General Hospital Montreal, QC.

⁴ Assistant Professor Department of Health Management, Evaluation and Policy School of Public Health University of Montreal Montreal, QC.

⁵ Statistician Institut national de santé publique du Québec Quebec City, QC.

⁶ Scientific Advisor Institut national de santé publique du Québec Quebec City, QC.

⁷ Professor Faculté de pharmacie Université Laval Quebec City, QC.

⁸ Assistant Professor Canadian Centre for Rural and Agricultural Health University of Saskatchewan Saskatoon, SK.

⁹ Professor Chair in Rural Health Delivery Canadian Centre for Rural and Agricultural Health University of Saskatchewan Saskatoon, SK.

¹⁰ Inaugural Chair and Professor Department of Equity Ethics and Policy (Jointly Appointed in the Department of Sociology) McGill University Montreal, QC.

¹¹ Associate Professor Department of Family Medicine McGill University Montreal, QC.

DOI: 10.12927/hcpol.2024.27281 PMID: 38721736

摘要 Ai翻译

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.

Contexte:: Les personnes qui vivent en milieu rurales atteintes de démence font face à des lacunes dans les services médicaux. Cette étude compare l'utilisation des services de santé entre les personnes atteintes de démence dans les collectivités rurales et celles des collectivités urbaines.

Méthodes:: Cette étude emploie un plan de cohortes transversales annuelles répétées pour la période allant de 2000 à 2019 et analyse les taux ajustés selon l'âge de 20 indicateurs d'utilisation des services et de mortalité un an après le diagnostic dans les bases de données administratives du Québec.

Résultats:: Parmi 237 259 personnes, 20,1% vivaient en milieu rural. La plupart des personnes en milieu rural ont eu plus de visites à l'urgence et d'hospitalisations, des séjours plus courts, moins de soins de niveau différent et moins de visites de médecins de famille ou de spécialistes de la cognition. Tous les groupes avaient des taux de soins de longue durée et de mortalité similaires.

Conclusion:: Les répercussions politiques de ces disparités sont discutées.

Keywords：healthcare use; dementia; rural-urban differences; quebec population-based study

关键词：医疗卫生利用; 痴呆; 城乡差异