使用电子初级保健记录验证的脆弱性测量:对诊断测试准确性的审查
Carmen Brack1, Mary Kynn2, Peter Murchie3
1Centre for Rural Health, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, AB25 2ZD, United Kingdom.
Age and ageing
|November 22, 2023
概括
验证的电子脆弱性测量 (VEFM) 在初级保健中用于早期识别脆弱性. 这次系统性审查发现,虽然电子脆弱性指数 (eFI) 的表现最好,但现有的VEFM可能会产生太多错误的阳性结果,无法有效地选人口.
科学领域:
- 老年学是一门学科.
- 医疗信息学 医疗信息学
- 诊断的准确性 诊断的准确性
背景情况:
- 识别有脆弱风险的个体对于及时干预至关重要.
- 英国NHS鼓励在初级保健中使用经过验证的电子脆弱性测量 (VEFMs).
结论:
- 电子脆弱性指数 (eFI) 是本次审查中发现的最有效的VEFM.
- 然而,在典型的英国一般实践环境中,eFI可能会产生大量虚假阳性.
- 当前的电子脆弱性工具可能不适合在初级保健中对广泛的人口进行查.
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