Risk Factors, Trends, Health Care and General Life Satisfaction for Select Neurological Conditions among an Aging Population in Canada
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Notice bibliographique
Résumé
There is an increasing number of people with neurological conditions. These people are living longer due to advances in critical care medicine and increasing survival and life expectancy rates among an aging population. As a result, neurological conditions and their attendant disabilities impact over 3.7 million people living in Canada and account for large health care expenditures, both by the publicly funded health system and through out-of-pocket payments by individuals with the conditions. Our main objective is to discover, other factors besides age, that affect the quality of life for Canadians living with neurological conditions. We use nationally representative population based survey data to identify risk factors, trends, health care and general life satisfaction for select neurological conditions found among Canadians. In order to inform health systems planning and direction of financial resources, policy and services, especially amidst grim predictions on the overall burden of these conditions on the Canadian economy, we examine specific neurological conditions (Alzheimer’s disease (AD)/dementia, Parkinson’s disease (PD), stroke effects, migraine headaches, multiple sclerosis (MS), cerebral palsy, epilepsy, amyotrophic lateral sclerosis (ALS), Huntington's disease, Tourette’s syndrome, dystonia, muscular dystrophy, hydrocephalus, spina bifida, brain and spinal cord tumors, and brain and spinal cord injuries), either independently or collectively in four distinct studies. \nIn the first study, chapter 3, we confirmed through our systematic review and meta-analysis that toxic occupational exposures are significant risk factors for the development of Parkinson’s disease especially that confirmed by a neurologist or nurse using standardized diagnostic methodology.\nThe second study analyzed the trends in AD/dementia prevalence by age, gender, education and geographic regions and found increasing prevalence across all strata of the community, with more men than women living with AD/dementia in the community. Increases in prevalence over the twenty-year period were less among those with higher levels of education and in the 45-64 age category, while prevalence was higher in the 65-79 age category and ballooned in the 80+ age categories of both men and women.\nThe third study assessed the relationship between self-reported unmet care needs and general health care satisfaction, satisfaction with physician and satisfaction with hospital services among Canadians with neurological conditions. We found that patient satisfaction was positively influenced by quality and availability of provincial and received care and being satisfied with life in general while unmet health care needs and receiving emergency services at the hospital had a negative impact on patient satisfaction.\nThe final study which examined the association between spirituality/religiosity and general life satisfaction among Canadians with neurological conditions found a protective relationship between spiritual values providing strength to face everyday difficulties, regular attendance at religious services and self-perceived physical and mental health and satisfaction with life in general. \nThe final take-home messages from our findings is that a population-based approach and a coordinated holistic system of care are needed for primary prevention of neurological conditions and the enhanced quality of life among the patients.
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle