基于便携式呼吸仪的肺功能测试在中国的意愿:来自"快乐呼吸计划"的全国横截面研究
Weiran Qi1, Ke Huang2, Qiushi Chen3
1Department of Health Economics and Health Policy, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Chinese medical journal
|July 2, 2024
概括
在高风险人群中,接受肺功能测试 (PFT) 的意愿很高,尽管地理障碍和对医疗保健的不信任是不完成这些测试的关键原因. 金融激励和社区计划等策略可以提高PFT的采用率,以早期检测慢性阻塞性肺病 (COPD).
科学领域:
- 肺部医学 肺部医学
- 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:
- 肺功能测试 (PFTs) 对于早期发现和治疗慢性阻塞性肺病 (COPD) 是至关重要的.
- 了解接受PFT的意愿以及识别吸收障碍对于改善COPD护理至关重要.
- 这项研究侧重于高风险人群,以评估PFT的意愿和障碍.
研究的目的:
- 评估高风险个体接受PFT的意愿.
- 确定阻止个人接受推PFTs的主要障碍.
- 分析与中国人口接受PFT的意愿相关的因素.
主要方法:
- 从中国"快乐呼吸计划"的参与者收集的数据.
- 一项调查评估了那些不遵循医生建议的人中接受PFT的意愿以及不遵守的原因.
- 单变量和多变量后勤回归分析了影响PFT意愿的因素.
主要成果:
- 在8475名参与者中,有90.4%的人愿意接受PFT.
- 不接受PFT的主要原因包括地理难以接近 (43.1%) 和对初级医疗保健的不信任 (36.7%).
- 不愿接受PFT的个人通常认为自己没有病 (54.8%). 较年轻的年龄,农村居住,高等教育,医疗补偿,就业,职业粉尘暴露和COPD意识与更高的意愿有关.
结论:
- 在高风险人群中,接受PFT的意愿很高.
- 解决地理障碍和建立对医疗机构的信任至关重要.
- 包括财政激励,健康教育和社区计划在内的政策干预措施可以促进PFT用于COPD管理的利用.
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