眼睛急性疾病对不同医疗保健提供者的负担:一项基于人口的回顾性研究
Anna Rawlings1, Angharad E Hobby2, Barbara Ryan3
1Swansea University Medical School, Swansea University, Swansea.
概括
在威尔士,急性眼睛护理对全科医生 (GPs) 和意外和紧急服务 (A&E) 造成了重大负担. 提高公众意识和对光学和药房服务的使用,可以帮助管理这种需求.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对急性眼科护理的需求超过了医疗保健能力.
- 公众对社区眼科保健服务的认识不足.
- 对初级和急诊护理提供者来说,这是一个很大的负担.
研究的目的:
- 量化威尔士的全科医生,眼科医生,药剂师和A&E服务的急性眼科护理负担.
- 确定急性眼科护理负担的驱动因素,包括处方和服务提供.
- 描述患者的人口统计和服务使用模式.
主要方法:
- 在英国威尔士 (2017-2018) 进行了回顾性数据链接研究.
- 对GP,A&E,光学 (眼科健康检查威尔士) 和药房 (常见疾病计划) 数据集的分析.
- 量化护理事件,处方率和A&E出席率.
主要成果:
- 确诊的急性眼科病例为173,999例;每1000人/年发生65.4例.
- 全科医生处理了168,877次发作;0.9%的全科医生处方用于急性眼科护理.
- 眼科医生和药剂师分别管理了51.8%和0.6%的发作.
- 医疗急救服务看到5122个与眼睛有关的出席 (0.6%的总医疗急救出席).
- 人口和社会经济因素影响了服务利用率;季节性和时间是预测因素.
结论:
- 急性眼科护理给威尔士的全科医生和A&E服务带来了巨大的负担,特别是在贫困的城市地区.
- 人口老龄化预计将增加这一负担.
- 优化眼科和药房途径,提高公众意识对于改善护理提供和减少现有服务的压力至关重要.
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