临床能力,沟通能力和坚持选择明智的建议,以减少老年人脂肪降低药物的使用
Robyn Tamblyn1,2,3, Teresa Moraga4, Nadyne Girard4
1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 2001 McGill College Avenue., Montreal, QC, H3A 1G1, Canada. robyn.tamblyn@mcgill.ca.
BMC geriatrics
|November 21, 2023
概括
医生的临床能力增加了对老年患者的降脂药物处方,而沟通能力降低了它. 医生公民身份也影响了75岁以上患者的初级预防处方.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
背景情况:
- 在75岁以上的患者中,降脂药的使用率很高,尽管不建议用于初级预防.
- 医生对这些药物的处方模式存在显著的不明原因的变化.
研究的目的:
- 调查医生沟通能力和临床能力与降脂药物处方之间的关联.
- 分析老年人初级和二级预防的处方差异.
主要方法:
- 一项涉及4,501名国际医学毕业生和超过21万名美国医疗保险患者 (初级和二级预防队列) 的队列研究.
- 医生的临床能力和沟通能力使用ECFMG临床评估考试进行评估.
- 多变量GEE逻辑回归模型分析了发生的降脂药物处方的结果.
主要成果:
- 与65-74岁的患者相比,75岁以上的患者接受降脂药物用于初级和二级预防的可能性较低.
- 增加的临床能力与75岁以上患者处方初级预防的几率更高相关.
- 增强的沟通能力与两年龄组的初级预防处方减少有关.
结论:
- 医生的临床能力,沟通技巧和公民身份与处方降脂药物与75岁以上患者的初级预防有关.
- 研究结果强调了影响老年人处方决策的复杂因素.
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