种族和代谢性疾病负担在转诊病学方面的差异
Yan Ting Chua1, Cheang Han Leo1,2, Horng Ruey Chua1,2
1Division of Nephrology, Department of Medicine, National University Hospital, Singapore.
Singapore medical journal
|September 7, 2023
概括
马来人患者在新加坡因病被转诊的比例不成比例,往往有更多的并发病和较低的功能. 需要进一步的研究来理解和解决这种差异,以获得公平的脏护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 从初级科护理转诊到三级科护理的患者转诊模式还没有很好地定义.
- 新加坡的马来人表现出功能衰竭的最高率.
- 在马来族人群中代谢性疾病的更高患病率可能会导致科转诊的增加.
研究的目的:
- 调查转移到科护理的患者的种族特征.
- 为了确定马来人患者是否在科转诊中过度代表.
- 探索种族,代谢疾病负担和功能之间的关联.
主要方法:
- 追溯观察队列研究.
- 分析了2014年至2018年期间从初级保健中转诊的6017名患者.
- 由协调员和医生进行分组,并对关键疾病参数进行对比和分析.
主要成果:
- 马来人患者在转诊中比一般人群中的比例过多.
- 马来人患者的并发症负担更高,包括糖尿病和高血压.
- 马来人患者呈现出较差的糖尿病控制和较低的估计淋巴球过率 (eGFR).
结论:
- 相当数量的马来人患者因病而转诊,其代谢性疾病负担较高,EGFR较低.
- 错过的预约在马来人,印度人和年轻患者中更为常见.
- 确定这些差异的根本原因对于有针对性的干预措施来改善风险人群中的脏健康至关重要.
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