[ANMCO的立场文件:明智地选择 - - ANMCO2023年的建议]
Fabiana Lucà, Michele Massimo Gulizia, Maurizio Giuseppe Abrignani1
1U.O.C Cardiologia-UTIC, Presidio Ospedaliero Paolo Borsellino, Marsala, ASP Trapani, Trapani.
概括
仪器诊断和治疗服务的使用越来越多,但往往是不必要的. 确定适当的心血管程序对于避免伤害患者和优化医疗保健至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗保健管理的管理
背景情况:
- 心脏病学中的仪器诊断和治疗服务正在经历指数级增长.
- 有一种趋势是对仪器检查的过度处方,可能取代必要的临床评估.
- 适当使用这些服务对于应对特定的流行病学和临床环境至关重要.
研究的目的:
- 识别心血管诊断和治疗程序在不适当的高风险.
- 更新和完善可能不必要的心脏病实践清单.
- 为改善适当使用心血管服务提出解决方案.
主要方法:
- 利用国际"明智选择"运动框架.
- 与科学协会合作,特别是意大利医院心脏病学家协会 (ANMCO).
- 审查和更新以前建立的不适当的心脏病实践清单.
主要成果:
- 在意大利确定了五种主要的心脏病实践,具有很高的不适合性风险.
- 此列表的最新更新反映了当前的临床趋势.
- 提出的解决方案旨在减轻不适当的心血管护理的问题.
结论:
- 适当使用心血管诊断和治疗程序至关重要.
- 解决不必要的干预措施可以改善患者的治疗结果和医疗保健效率.
- 持续评估和指导方针更新对于基于证据的心脏病学至关重要.
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