慢性肺炎患者的初级保健连续性和住院之间的关系:来自韩国的基于人口的队列研究
Iyn-Hyang Lee1,2, Eunjung Choo3, Sejung Kim4
1College of Pharmacy, Yeungnam University, Gyeongsan, Korea (the Republic of) leeiynhyang@ynu.ac.kr ejjang@anu.ac.kr.
BMJ open respiratory research
|August 29, 2024
概括
在慢性阻塞性肺病 (COPD) 患者的初级护理中,护理的连续性大大减少了住院和急诊室的访问. 这一发现强调了一致的初级保健对于有效管理COPD和降低医疗保健成本的重要性.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 关于慢性阻塞性肺病 (COPD) 患者的持续护理 (COC) 的现有证据是有限的.
- 有效的COPD管理需要了解影响患者结果和医疗利用的因素.
研究的目的:
- 调查初级保健中的关联性护理连续性与与COPD相关的住院治疗之间的联系.
- 提供可靠的证据,证明一贯的初级保健对COPD患者结果的影响.
主要方法:
- 基于人口的队列研究,利用韩国国家医疗保险服务数据.
- 包括92,977名新确诊的COPD的成年人 (≥40岁) (2015-2016).
- 员工倾向得分匹配和考克斯比例危险模型,分析4年后续的结果.
主要成果:
- 没有初级保健连续性的患者与连续性的患者相比,COPD相关住院的风险明显更高 (aHR2.43).
- 这种风险仍然是倾向性得分匹配后的高风险 (aHR 2.21).
- 不连续性也与急诊室访问的增加,全身皮质类固醇的使用和医疗保健费用有关.
结论:
- 增加初级保健的连续性与COPD患者的住院减少有关.
- 一致的初级保健与更少的急诊室访问和更低的COPD管理医疗保健支出有关.
- 这些发现强调了初级保健中关系连续性的价值,以改善COPD的结果.
关键词:
慢性慢性肺炎的流行病学
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