初级保健的价值:来自加拿大初级保健哨兵监视网络的证据
Sabrina T Wong1, Rachael Morkem2, Ayat Salman3
1Scientific Director and Senior Investigator, Division of Intramural Research, National Institute of Nursing Research, Bethesda, MD.
在初级保健中,抗微生物药物管理是罕见的. 在COVID-19期间,针对呼吸道感染的抗生素处方显著下降,可能会防止近75万次不必要的治疗.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健中抗菌药物管理计划在很大程度上不存在.
- 对急性呼吸道感染 (RTIs) 过度使用抗生素是一个重大问题.
- 随着COVID-19的爆发,医疗保健领域发生了前所未有的转变.
研究的目的:
- 检查COVID-19大流行对初级保健中RTIs抗生素处方的影响.
- 评估RTI遇到抗生素处方的比例的变化.
- 突出电子医疗记录 (EMR) 数据对改善卫生系统的有用性.
主要方法:
- 采用了一个中断时间序列研究设计.
- 电子病历 (EMR) 数据被用来分析处方趋势.
- 这项研究比较了COVID-19大流行之前和期间的抗生素处方率.
主要成果:
- 在疫情前,RTIs的抗生素处方率为27.8%.
- 在COVID-19大流行期间,RTIs的抗生素处方显著下降了9.4% (p < 0.001).
- 这种减少有可能使近75万名患者避免不必要的抗生素处方.
结论:
- COVID-19大流行与初级保健中RTIs的抗生素处方大幅减少有关.
- 对于监测处方模式和为抗微生物药物管理计划提供信息而言,EMR数据非常有价值.
- 研究结果强调,通过有针对性的干预和数据分析,可以显著改善抗微生物药物的使用.
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