探索初级保健测试的原因 (为什么测试研究):使用初级保健学术协作工具进行英国范围内的审计
Jessica Watson1, Alexander Burrell1, Polly Duncan1
1National Institute for Health and Care Research doctoral research fellow.
在英国初级保健中,血液检测通常用于症状调查或疾病监测,只有少数患者要求的测试. 很大一部分测试可能是不必要的,这表明可以进行优化.
科学领域:
- 主要护理药物 医疗保健药物
- 临床病理学 临床病理学
- 医疗服务研究 医疗服务研究
背景情况:
- 在过去的20年里,血液检测率大幅上升.
- 从电子健康记录中提取血液测试的原因是具有挑战性的.
研究的目的:
- 调查英国初级保健中的血液检测的驱动因素和结果.
- 了解谁要求进行血液检测以及其背后的原因.
主要方法:
- 在英国的一般实践中对电子健康记录的回顾性审计.
- 57名临床医生审查了每位50名患者的病历,提取了关于测试请求,原因,结果和结果的数据.
主要成果:
- 症状调查 (43.2%) 和疾病监测 (30.1%) 是血液检测的最常见原因.
- 26.6%的患者有正常结果,约25%的测试在审查后被认为是不必要的.
- 只有6.2%的测试导致了新的或确定的诊断.
结论:
- 一种全国性的协作方法促进了对血液检测实践的全面分析.
- 这些发现突出了优化初级保健中血液测试利用的潜在领域.
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