韩国国家糖尿病质量评估计划的长期有效性
Ji Hye Huh1, Serim Kwon2, Gui Ok Kim2
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.
Diabetes care
|July 20, 2023
概括
国家糖尿病质量评估计划 (NDQAP) 通过减少并发症和死亡率,改善了糖尿病护理. 达到NDQAP指标降低了多发性糖尿病视网膜病变,病,心脏病发作,中风和死亡的风险.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病是全球范围内一个主要的公共卫生问题.
- 质量评估计划对于改善慢性疾病管理至关重要.
- 韩国国家糖尿病质量评估计划 (NDQAP) 旨在提高糖尿病护理标准.
研究的目的:
- 评估NDQAP的长期有效性.
- 确定实现NDQAP质量指标与患者治疗结果之间的关联.
- 评估质量护理对糖尿病并发症和全因死亡率的影响.
主要方法:
- 一个回顾性队列研究,使用健康保险审查和评估服务数据库.
- 从2012年7月到2013年6月,包括399984名糖尿病患者,随访至2021年5月.
- 分析使用Cox比例危险模型来估计与NDQAP指标相关的风险.
主要成果:
- 每个实现的质量指标都与降低糖尿病并发症和死亡率的风险有关.
- 在高质量机构的管理显著降低了PDR,ESKD,截肢,MI,中风和全因死亡的风险.
- 特定危险比率表明,对各种不良结果的风险大幅降低.
结论:
- 遵守NDQAP质量指标与糖尿病患者的更好的长期结果有关.
- 该计划在缓解糖尿病相关并发症和降低整体死亡率方面表现出有效性.
- 糖尿病护理的质量改善举措对公共卫生至关重要.
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