在实用临床试验中评估严重疾病患者调查受访者的代表性
Aaron J Chau1, Ron Hays2, Anne M Walling3
1Division of Geriatric Medicine and Gerontology, Department of Family Medicine, University of California, Irvine, Irvine, CA.
Ethnicity & disease
|June 7, 2024
概括
一个量身定制的调查有效地招募了重病患者参加实用性试验,确保了预先护理规划研究的人口代表性. 这种方法捕获了关键患者子集的基本数据.
科学领域:
- 临床试验 临床试验
- 医疗保健服务研究 医疗服务研究
- 患者的人口统计数据
背景情况:
- 实用性临床试验需要来自患者子集的数据,这些数据通常在人口层面上无法获得.
- 在重病患者群体中,提前护理规划至关重要,但对其进行研究具有挑战性.
- 了解重病患者的特征对于有效提供医疗保健至关重要.
研究的目的:
- 将重病患者的特征与完成预先护理规划调查的患者进行比较.
- 评估调查受访者的代表性,与整体重病患者群体相比.
- 在实用试验环境中评估量身定制的调查和招聘策略的有效性.
主要方法:
- 开发了一项调查和多步骤流程,以在三个学术卫生系统中识别重病初级保健患者.
- 评估了患者人口统计学 (年龄,性别,种族,种族) 和社会脆弱性之间的关系.
- 调查受访者与基础严重疾病人口的比较特征.
主要成果:
- 大约5%的初级保健人口被归类为重病患者 (8707名患者).
- 调查回复率为21% (邮寄的5351人中有1100人).
- 调查受访者在年龄,种族,种族和脆弱性方面高度代表严重疾病人口,种族对应率的差异很小.
结论:
- 通过量身定制的调查和招聘策略,成功地获得了重病初级保健受访者的代表性样本.
- 这些发现支持在实用临床试验中从患者子集收集基本数据的可行性.
- 这种方法提高了研究弱势群体预先护理计划的能力.
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