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主要精神疾病的身体健康指标:来自英国质量和结果框架的数据
Julie Langan Martin1, Richard Lowrie2, Alex McConnachie1
1University of Glasgow, Glasgow, UK.
Lancet (London, England)
|August 28, 2015
概括
在英国,与糖尿病或慢性病患者相比,一般医生在患有严重精神疾病的患者中较少记录体重指数 (BMI) 和血压 (BP). 这表明严重精神疾病患者在获得医疗保健方面存在潜在的不平等.
科学领域:
- 公共卫生
- 医疗服务研究
- 心理健康研究
背景情况:
- 英国的质量和结果框架 (QOF) 鼓励全科医生记录严重精神疾病,糖尿病和慢性病患者的体重指数 (BMI) 和血压 (BP).
- 尽管有激励措施,但护理障碍可能会影响严重精神疾病 (精神分裂症,双相情感障碍和相关精神病) 患者的这些重要健康指标的记录.
研究的目的:
- 将严重精神疾病患者的BMI和血压目标记录率与英国糖尿病患者和慢性病患者进行比较.
- 确定医疗保健提供中的潜在差异,并确定重症精神病患者的初级护理需要改进的领域.
主要方法:
- 2012-2013年质量和成果框架 (QOF) 数据分析来自英国的9731个一般实践.
- 计算BMI和BP指标的中位数支付,人口成绩和例外率.
- 主要精神疾病群和糖尿病/慢性病群之间的统计比较,包括使用定量回归的跨国分析.
主要成果:
- 与英国糖尿病相比,在重大精神疾病中,支付和人口成就率明显较低,BMI记录的异常率更高.
- 与英国慢性病相比,在严重精神疾病中,支付和人口成绩率明显较低,血压记录的异常率更高.
- 与英格兰相比,苏格兰在重症精神疾病中BMI和血压记录的中位数较低,慢性病和糖尿病没有这种跨司法区别.
结论:
- 在整个英国,与糖尿病和慢性病患者相比,患有严重精神疾病的人的BMI和血压记录率较低.
- 英国各国记录率的差异表明,严重精神疾病患者在获得医疗保健方面存在潜在的不平等.
- 调查结果强调需要解决多因素患者,临床医生和组织因素,以改善对这一群体的护理.
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