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在英格兰和威尔士的炎症性关节炎管理中的信任表现:一种潜伏类分析方法

Zijing Yang¹, Nikita Arumalla¹, Edward Alveyn¹

¹Centre for Rheumatic Diseases, Department of Inflammation Biology, King's College London, London, UK.

Rheumatology advances in practice

|May 20, 2024

概括

开始疾病修饰性抗风湿药物 (DMARD) 治疗早期炎症性关节炎 (EIA) 随着时间的推移而有所改善. 拥有更好的员工和临床结构的信托机构更快地为EIA患者启动治疗.

科学领域:

类风湿病学类风湿病学
医疗保健服务研究医疗服务研究

背景情况:

早期炎症性关节炎 (EIA) 需要及时启动治疗以获得最佳结果.
改变疾病的抗风湿药物 (DMARDs) 对于管理EIA至关重要.
在DMARD启动过程中评估信任水平的表现对于改善医疗保健至关重要.

研究的目的:

为了评估对EIA患者的DMARD治疗启动的信任水平表现.
为了识别随着时间的推移,绩效轨迹的变化.
调查与绩效变化相关的信任特征.

主要方法:

来自国家早期炎症性关节炎审计 (NEIAA) (2018-2020) 的130家英国信托机构的分析.
主要结局:在EIA患者中,从转诊到DMARD启动的几天.
使用潜阶级增长混合模型和回归分析来确定轨迹和相关因素.

主要成果:

开始使用DMARD的平均时间为53天,减少了0.3天/月.
确定了四个不同的绩效轨迹,超过77%的信托公司有所改善.
较短的启动时间与更高的风湿病学人员,当地EIA途径和超声波访问有关.

结论:

随着时间的推移,EIA患者的治疗等待时间减少了.
拥有完善的EIA临床结构,拥有完善的人员的信托机构更早地开始DMARD治疗.

关键词:

德马德 (DMARD) 是一个医疗保健质量医疗保健质量类风湿性疾病类风湿性疾病类风湿病学类风湿病学飞行轨道的轨迹是什么治疗治疗治疗治疗治疗治疗

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