失脂症患者和多个提供者之间的护理连续性:一个队列研究
Eunyoung Choi1,2, Juhee Lee3, Eunjung Choo4
1College of Pharmacy, Yeungnam University, Gyeongsan, Republic of Korea.
PloS one
|May 2, 2024
概括
医生和药剂师的高连续性护理改善了临床结果,并降低了失脂症患者的医疗保健费用. 保持强大的患者-提供者关系是改善健康和经济效益的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
- 心血管疾病流行病学
背景情况:
- 与医疗保健提供者的持续护理 (COC) 对于管理慢性疾病,如失脂症至关重要.
- 与医生和社区药剂师结合连续性的临床和经济结果的影响尚未得到充分证实.
研究的目的:
- 调查医生和社区药剂师的护理连续性 (COC) 与新诊断的失脂症患者的临床和经济结果之间的关联.
主要方法:
- 使用韩国国家索赔数据 (2007-2018) 的回顾性队列研究.
- 在2008年确定了新诊断的脱脂症患者.
- 计算医生和药剂师的护理连续性指数 (COCI),将患者分为四组:高医生/高药师 (HM/HP),高医生/低药师 (HM/LP),低医生/高药师 (LM/HP) 和低医生/低药师 (LM/LP).
- 主要结局:动脉样硬化心血管疾病 (ASCVD) 的发生率.
主要成果:
- 分析了126710名患者的情况.
- 与高医生/高药师 (HM/HP) 组相比,低医生/低药师 (LM/LP) 组的ASCVD风险明显更高 (aHR = 1.16).
- 不适当的药物坚持风险随着连续性降低而增加,特别是在LM/LP组 (2.26倍).
- 在HM/HP和LM/HP组中,与疾病相关的成本较低.
结论:
- 与医生和药剂师的高连续性护理与更好的临床结果 (降低ASCVD风险) 和更低的医疗保健成本有关.
- 保持牢固的患者与提供者关系,特别是与医生和药剂师的关系,对治疗失脂症有好处.
- 需要进一步的研究来探索连续性与药剂师单独的具体作用.
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