在初级保健中慢性疼痛管理:利用基于人口的数据来检查家庭医生实践模式
Curtis May1, Sandra Peterson2, Ellie Gooderham3
1Family physician and public health and preventive medicine resident at the University of British Columbia in Vancouver.
Canadian family physician Medecin de famille canadien
|September 13, 2024
概括
家庭医生 (FP) 看到慢性疼痛 (CP) 护理需求增加,尽管每位FP的CP患者数量较少. 劳动力规划对于支持FP管理复杂的慢性疼痛病例至关重要.
科学领域:
- 疼痛管理 疼痛管理
- 家庭医学 家庭医学 家庭医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性疼痛 (CP) 影响着相当一部分人口,给初级保健医生带来复杂的管理挑战.
- 家庭医生 (FP) 通常是慢性疼痛患者的第一个接触点,管理各种疾病.
研究的目的:
- 分析社区家庭医生慢性疼痛实践模式的趋势.
- 了解十年来患者数量,药物处方,转诊和与慢性疼痛护理相关的程序的变化.
主要方法:
- 一项基于人口的描述性研究,利用来自不列颠哥伦比亚省的卫生行政数据.
- 分析涵盖了2008-2009年至2017-2018财年,重点是算法定义的慢性疼痛患者和基于社区的FP.
- 关键的结果措施包括CP患者数量,止痛药处方,专家转诊,成像请求和干预程序.
主要成果:
- 在2017 - 2018年,由FP看的32.5%的患者患有慢性疼痛.
- 在2008-2009年至2017-2018年期间,长期阿片类药物的处方增加了0.56%,神经病痛药物的处方增加了1.1%,而NSAID处方减少了0.49%.
- 肌肉骨成像请求,与疼痛相关的转诊,以及FP的疼痛注射性能都显示增加.
结论:
- 提供慢性疼痛护理给患者的工作量增加了FP,尽管每名医生CP患者数量下降.
- 这些发现突显了初级保健中慢性疼痛管理日益复杂的现象.
- 劳动力规划必须应对这些增加的需求,以确保提供慢性疼痛护理的FP获得足够的支持和资源.
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