2010年至2018年间,法国的全科医生对40至75岁的成年人进行了螺旋测量实践
A Chapron1,2,3, T Lemée4, G Pau4,5
1Rennes University, Centre Hospitalier Universitaire (CHU) de Rennes, Department of General Practice, Rennes, France. anthony.chapron@univ-rennes.fr.
NPJ primary care respiratory medicine
|September 30, 2023
概括
法国的全科医生 (GPs) 越来越多地进行螺旋测试,这对于诊断慢性阻塞性肺病 (COPD) 至关重要. 然而,目前的数量不足以满足日益增长的早期呼吸系统疾病检测和管理需求.
科学领域:
- 肺部病理学 肺部病理学
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脊髓测量对于诊断慢性阻塞性肺病 (COPD) 至关重要,在法国由于肺病专家的可用性有限,面临着可访问性挑战.
- 一般医生已经开始在初级保健机构进行螺旋测量,但这种做法的规模尚不清楚.
研究的目的:
- 调查2010年至2018年期间法国全科医生进行的螺旋计的范围和趋势.
- 评估一般医生对40-75岁患者的螺旋计测试的贡献.
主要方法:
- 法国"国家健康数据系统" (SNDS) 数据库的回顾性分析.
- 从2010年至2018年,包括初级保健医生在对40至75岁的患者进行螺旋测量.
主要成果:
- 在2010年至2018年期间,全科医生进行了302,674次螺旋测量 (占总数的7.2%).
- 螺旋测量和进行螺旋测量的全科医生数量每年都在增加,特别是在"非专家全科医生"中.
- 24.9%的全科医生进行的螺旋计是来自其他全科医生的转诊.
结论:
- 医生主导的螺旋测量正在增加,但仍然不足以解决COPD和其他呼吸系统疾病的不足诊断.
- 需要进一步努力,以提高精神测量可访问性和初级保健中早期检测率.
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