智力障碍患者的慢性疾病管理:在荷兰的全科医院进行了一项匹配研究
Milou van den Bemd1, Maarten Cuypers1, Bianca Wm Schalk1
1Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, the Netherlands.
概括
慢性疾病的疾病管理计划 (DMP) 可能不适合智力障碍 (ID) 患者. 然而,ID患者经常接受咨询和类似的例行检查,这表明他们在慢性疾病管理方面并没有得到足够的服务.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 智力障碍研究 智力障碍研究
背景情况:
- 疾病管理计划 (DMP) 标准化了慢性疾病的护理.
- 慢性疾病在智力障碍 (ID) 患者中很普遍.
- 标准的DMP可能无法完全满足ID患者的独特护理需求.
研究的目的:
- 为了比较DMP注册和疾病监测在ID和没有ID的患者之间.
- 为了确定荷兰一般实践中慢性病的护理差异.
主要方法:
- 使用Nivel初级保健数据库 (2015-2018) 进行的观察性研究.
- 将ID和慢性疾病 (糖尿病,心血管疾病,慢性肺炎) 的患者与没有ID的匹配对照患者进行比较 (比率1: 5).
- 使用条件后勤回归来分析DMP招生,咨询,药物和例行检查.
主要成果:
- 患有糖尿病和ID的患者更有可能被纳入DMP (OR=1.44).
- 患有ID的患者有更频繁的咨询,无论DMP入学情况如何.
- 患有糖尿病/COPD和ID的患者没有在DMP中,他们的处方比没有ID的对照组更多.
结论:
- 虽然DMPs不是为ID患者量身定制的,但他们似乎没有得到足够的服务.
- 在ID患者的慢性疾病的护理在咨询,药物和测试方面是相似的.
- 进一步的研究可以探索为ID患者优化DMP.
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