实施心血管疾病预防的决策辅助工具:澳大利亚初级保健的利益相关者访谈和案例研究
Carissa Bonner1, Samuel Cornell2, Kristen Pickles2
1Faculty of Medicine and Health, University of Sydney, Edward Ford Building, A27, Sydney, NSW, 2006, Australia. carissa.bonner@sydney.edu.au.
在澳大利亚的初级保健中实施心血管疾病 (CVD) 风险评估的决策辅助工具是可行的. 策略范围从低资源的网站链接到高资源的自动记录集成,支持指南翻译.
科学领域:
- 心脏病学 心脏病学
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚心血管疾病 (CVD) 预防指南倡导绝对CVD风险评估.
- 不到一半的符合条件的患者记录了风险因素,原因是实施分散.
- 为全科医生和消费者共同设计的决策辅助工具旨在改善心血管疾病风险评估和管理.
研究的目的:
- 确定和试点测试澳大利亚初级保健中CVD风险评估决策辅助工具的可行实施策略.
- 解决通过指南推的CVD风险评估的障碍.
- 将新的心血管疾病指南转化为初级保健实践的信息.
主要方法:
- 混合方法研究,涉及与利益相关者协商和与初级卫生网络 (PHN) 工作人员的采访.
- 低,中,高资源实施策略的试点测试.
- 使用框架分析分析定性数据;通过谷歌分析跟踪决策支持使用情况.
主要成果:
- 与利益相关方的商强调了与心脏基金会和PHN等组织建立伙伴关系的必要性.
- 与现有的通用实践流程 (工作流程,医疗记录,审计软件) 的整合至关重要.
- 可行的策略包括网站链接,全科医生教育,审计整合和自动记录人口.
结论:
- 对于在初级保健中实施心血管疾病风险评估决策辅助工具,存在一系列可行的策略.
- 调查结果将指导新CVD指南的翻译.
- 未来的研究将侧重于对不同实施策略的经济评估.
更多相关视频
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Preventive Healthcare Services
Cardiovascular Drugs: Classification based on Therapeutic Indications
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Pre-Procedural Guidelines for Assessing Blood Pressure
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
