错过结肠镜预约和综合医疗保健系统中多种先前坚持行为之间的关联:一项观察性研究
John F Steiner1,2, Anh P Nguyen3, Kelly S Schuster4
1Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA. john.f.steiner@kp.org.
Journal of general internal medicine
|August 7, 2023
概括
以前不遵守医疗保健预约和肠道准备有显著的预测错过的结肠镜预约. 使用多种坚持措施可以提高结肠镜查的预测准确性.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健管理的管理
- 预防医学 预防医学
背景情况:
- 错过的结肠镜检查预约导致诊断和治疗胃肠道疾病的延迟.
- 以前不遵守其他医疗保健组成部分可能与错过的结肠镜预约相关.
研究的目的:
- 检查患者先前的坚持行为中的变化.
- 为了确定先前坚持和错过的结肠镜预约之间的联系.
主要方法:
- 进行了一项回顾性队列研究.
- 分析了2016年至2018年期间计划进行结肠镜检查的57590名患者的数据.
- 通过错过门诊,胃肠道学或结肠镜检查预约以及获得肠道制备套件来评估先前的坚持.
主要成果:
- 总共有4.2%的结肠镜预约错过了.
- 错过结肠镜的患者更有可能错过先前的初级保健 (62.5%),胃肠病学预约 (18.4%),或没有获得肠道准备 (42.4%).
- 所有三个坚持行为都独立地预测了错过的结肠镜检查,调整后的几率比分分别为1.6,1.9和3.1.
结论:
- 三种特定的先前坚持行为独立地与错过的结肠镜预约联系在一起.
- 未来的研究预测坚持应纳入过去患者行为的多个,互补的措施.
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