谁提供慢性疾病管理? 阿尔伯塔省基于人口的回顾性队列研究
Jessica Kirkwood1, Joey Ton2, Christina S Korownyk3
1Family physician and Assistant Professor in the Department of Family Medicine at the University of Alberta in Edmonton. jek5@ualberta.ca.
Canadian family physician Medecin de famille canadien
|June 14, 2023
概括
家庭医生管理大多数慢性疾病,如高血压和糖尿病,作为许多人的初级保健提供者. 执业护士参与的慢性疾病护理不到1%.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性疾病的有效管理对人口健康至关重要.
- 了解不同医疗保健提供者在慢性疾病护理中的作用,对于优化患者治疗结果至关重要.
- 家庭医生,专家和护士在医疗保健领域扮演着不同的角色.
研究的目的:
- 确定接受家庭医生,专家和护士从业人员治疗常见慢性疾病的患者比例.
- 分析特定慢性疾病的不同提供者类型之间的护理分配.
主要方法:
- 一项基于人口的回顾性队列研究在加拿大阿尔伯塔省进行.
- 分析了2013-2017年间970,783名成年患者 (19岁以上) 的数据,他们患有7种特定的慢性疾病 (高血压,糖尿病,COPD,喘,心力衰竭,缺血性心脏病,慢性病).
- 该研究确定了参与管理这些患者病情的医疗保健提供者的类型.
主要成果:
- 家庭医生是大多数高血压 (85.7%),糖尿病 (70.9%),COPD (59.8%) 和喘 (65.5%) 的患者的唯一提供者.
- 专家是患有缺血性心脏病 (49.1%),慢性脏病 (42.2%) 和心力衰竭 (35.6%) 的患者中很大一部分的唯一提供者.
- 在所有研究的慢性疾病中,从业护士参与照顾的患者不到1%.
结论:
- 家庭医生是大多数患有研究的慢性疾病的患者的主要护理人员.
- 这些发现强调了家庭医生在管理常见慢性疾病方面的核心作用.
- 医疗保健政策和临床试验设计应承认家庭医生在慢性疾病管理中的主要作用.
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