在印度的公共卫生保健机构的患者中,自我报告的症状负担:通过ICPC-3镜头来看
Priti Gupta1, Bhavna Bharati2, Kirti Sundar Sahu2
1Research Department, Centre for Chronic Disease Control, New Delhi, India.
PLOS global public health
|May 6, 2024
概括
这项研究发现,一般性,消化和循环问题是患者访问印度公共卫生设施的首要原因,无论人口统计数据或医疗保健水平如何. 对这些常见疾病的标准化护理可以提高效率.
科学领域:
- 初级医疗保健研究 研究初级医疗保健
- 医疗服务管理 医疗服务管理
- 医学分类系统 医学分类系统
背景情况:
- 了解患者寻求护理的原因对于优化印度公共卫生服务至关重要.
- 社会人口因素和卫生系统水平可能会影响患者的投诉和遭遇.
- 国际初级保健分类-3 (ICPC-3) 提供了一个标准化的框架来分类健康遭遇.
研究的目的:
- 描述印度公共医疗保健机构的社会人口统计和分类患者的主要投诉.
- 分析国际初级保健分类-3 (ICPC-3) 组,以患者的原因来遇到设施.
- 探索不同社会人口和卫生系统层面的投诉和ICPC-3群体的差异.
主要方法:
- 在印度奥迪沙州的三个地区进行了一项横截面研究.
- 从18岁以上的患者收集了数据,这些患者在选定的公共卫生设施 (DH,SDH,CHC,PHC和三级保健) 的门诊病房 (OPD) 接受治疗.
- 系统的随机抽样被用于选择3044名研究参与者.
主要成果:
- 65%的患者报告症状,而35%的人报告疾病/诊断是他们的主要抱怨.
- 接触的常见原因包括发烧,高血压,腹痛,胸痛,关节炎,皮肤疾病,咳,糖尿病和受伤.
- 最常见的症状类别是一般性 (29%) 和消化 (16%). 循环,消化和肌肉系统是患者群体和卫生系统层面的关键.
结论:
- 这是第一个在多个医疗保健层面应用ICPC-3分类的印度研究.
- 患者访问公共卫生设施的原因,由ICPC-3分类,始终是一般的,消化和循环,无论患者的人口统计数据或医疗保健层次.
- 标准化这些常见疾病的管理和转诊指南可以提高质量,减少印度公共卫生设施的负担.
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