PHYSICAL AND OCCUPATIONAL THERAPY FOR OLDER PERSONS

老年人的物理和职业治疗

• 批准号: 6414718
• 负责人: JANET Kues FREBURGER
• 金额: $ 7.28万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6414718
• 关键词: Medicare /Medicaid; aging; functional ability; health care service availability; home health care; human data; human therapy evaluation; occupational therapy; outpatient care; physical therapy

DESCRIPTION (provided by applicant): Community based older persons, especially those with functional limitations and disability, use a variety of health care providers to maintain and/or improve their health and functional capabilities. Physical and occupational therapists represent one group of health care providers that primarily focus on improving, maintaining, or limiting decline in the functional capabilities of the older person. The broad objective of the proposed study is to advance our understanding of the access to and effectiveness of physical and occupational therapy for community based older persons. This study will be population based, analyzing several years of data from the Medicare Current Beneficiary Survey. The first aim of the study is to identify determinants of therapy use. Analyses will be conducted to identify predisposing, enabling, and need characteristics associated with the use of physical and occupational therapy. Determinants of therapy use in the home or outpatient setting will also be identified. And finally, the relationship between predisposing, enabling, and need characteristics and intensity of therapy use will be examined. The second aim of the study is to examine the relationship between therapy use and changes in functional status. Users of physical and occupational therapy will be identified and analyses will be conducted to examine the relationship between intensity of therapy use and changes in functional status, while controlling for patient characteristics and illness severity. The feasibility of examining changes in functional status among users and nonusers of physical and occupational therapy will also be explored using instrumental variable estimation or a case-control approach. Little is known about whether community based older persons have appropriate access to therapy services. Data on the effectiveness of physical and occupational therapy for community based older persons is also limited. Because recent changes in Medicare reimbursement have had a direct impact on the provision of therapy services, examining issues surrounding the use and effectiveness of these services is timely and may inform future Medicare policy.

描述（由申请人提供）：社区老年人，尤其是 那些有功能限制和残疾的人，使用各种医疗保健 提供者维持和/或改善他们的健康和功能能力。 物理治疗师和职业治疗师代表一组医疗保健人员 主要致力于改善、维持或限制衰退的提供商 老年人的功能能力。该组织的总体目标 拟议的研究是为了增进我们对获取和 物理和职业治疗对社区老年人的有效性 人。这项研究将以人群为基础，分析几年的数据 来自医疗保险当前受益人调查。研究的首要目的是 确定治疗使用的决定因素。将进行分析以确定 与使用相关的倾向、促成和需要特征 物理和职业治疗。家庭或家庭治疗使用的决定因素 门诊环境也将被确定。最后，关系 倾向、促成和需要的特征和强度之间 将检查治疗的使用情况。该研究的第二个目的是检验 治疗使用与功能状态变化之间的关系。用户 将确定物理和职业治疗并进行分析 旨在检查治疗使用强度与 功能状态的变化，同时控制患者特征和 病情严重程度。检查功能状态变化的可行性 在物理和职业治疗的使用者和非使用者中也将 使用工具变量估计或病例对照方法进行探索。 关于社区老年人是否有适当的医疗服务，人们知之甚少。 获得治疗服务。有关物理和治疗效果的数据 对社区老年人的职业治疗也很有限。因为 最近医疗保险报销的变化对医疗保险报销产生了直接影响 提供治疗服务，检查有关使用和治疗的问题 这些服务的有效性是及时的，并且可以为未来的医疗保险提供信息 政策。