使用实施科学开发家庭高胆固醇血查计划在初级保健:CARE-FH研究研究.
Laney K Jones1, Katrina M Romagnoli2, Tyler J Schubert3
1Department of Genomic Health, Research Institute, Geisinger, Danville, PA 17822, USA (Drs Jones, Schubert, Clegg, Cawley, Norelli, Williams, Gidding and Rahm); Heart and Vascular Institute, Geisinger, Danville, PA 17822, USA (Drs Jones). Electronic address: https://twitter.com/LaneyJonesRx.
Journal of clinical lipidology
|January 16, 2024
概括
在初级保健中,家族性高胆固醇血症 (FH) 查并不常见. 在CARE-FH试验中,通过吸引医疗保健专业人员,制定了改善FH识别和基于指南的护理的策略.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 家族性高胆固醇血症 (FH) 是一种被诊断不足的遗传疾病,导致心血管疾病的早发.
- 当前的FH查实践在初级保健中很少见,通常是反应性的,通常发生在心血管事件后.
研究的目的:
- 改善家庭高胆固醇血症 (FH) 在初级保健机构的查.
- 通过结合最终用户的观点,制定和实施基于指南的FH护理策略.
主要方法:
- 雇佣实施科学和以人为中心的设计,包括上下文查询,调查和与医疗保健利益相关者的参与会议.
- 与医疗保健系统领导者,临床医生和工作人员合作,定义当前的查状态并评估实施可行性.
- 在初级保健诊所内开发和试点测试FH查和护理的多层次策略.
主要成果:
- 主要护理临床医生报告说,FH查是可以接受的,适当的和可行的.
- 鉴定到的查障碍包括时间限制,测试成本和有关失脂症的知识差距.
- 查的促进因素包括明确的指导和新的FH治疗方法的可用性.
结论:
- 制定了一个全面的实施战略包,以提高FH的认识和识别.
- 该战略旨在改善为患有FH的个体启动基于指南的护理.
- CARE-FH试验为将FH查整合到常规初级保健中提供了一个模型.
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