医疗保健利用模式:刺激性肠综合征,炎症性肠病和胃食道逆流性疾病
Natasha Koloski1,2, Ayesha Shah1,2, Iain Kaan3
1Faculty of Medicine and Faculty of Health and Behavioural Sciences, Translational Research Institute, University of Queensland, Ipswich Road, Woolloongabba, Brisbane, QLD, Australia.
Digestive diseases and sciences
|February 24, 2024
概括
症状严重程度,而不是诊断,驱使在常见的胃肠道疾病中使用医疗保健. 了解这些模式可以帮助解决未满足的临床需求,并优化对IBS和IBD等疾病的患者护理.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 临床流行病学临床流行病学
背景情况:
- 有限的数据存在于流行胃肠道 (GI) 疾病的医疗利用.
- 胃肠道患者的症状负担和医疗保健使用之间的关系还不清楚.
研究的目的:
- 在常见的胃肠道疾病的门诊患者中确定医疗保健利用的不同模式.
- 确定医疗保健利用率,症状严重程度和特定疾病群体之间的关联.
主要方法:
- 隐性类分析 (LCA) 用于识别医疗保健利用模式.
- 包括患有便秘占主导地位的IBS,腹占主导地位的IBS,混合IBS,IBD (爆发或缓解) 和GERD的患者.
- 使用胃肠道症状结构化评估 (SAGIS) 尺度来测量症状负担.
主要成果:
- 确定了四种不同的医疗保健利用模式:急诊室,门诊专注,住院和联合住院/急诊使用.
- 不管诊断如何,更高的急诊室利用率与更大的胃肠道症状负担有关.
- 在使用组之间观察到SAGIS得分的显著差异 (p < 0.05).
结论:
- 医疗保健利用模式在普遍的胃肠道疾病中有很大差异.
- 症状严重程度似乎是医疗保健利用的更强的决定因素,而不是具体的诊断.
- 这些发现突出了潜在的未满足的临床需求,影响了患者寻求医疗保健的行为.
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