澳大利亚第一民族初级医疗保健数据规范与潜在可预防的住院病例的比较
Boyd Potts1, Christopher M Doran1, Stephen J Begg2
1Cluster for Resilience and Wellbeing, Appleton and Manna Institutes, Central Queensland University, Brisbane, QLD 4701, Australia.
International journal of environmental research and public health
|September 28, 2024
概括
一个新的第一民族初级医疗保健 (FNPHC) 数据规范显示,住院率高于潜在可预防住院率 (PPH). 这一措施为第一民族初级保健提供者提供了价值,并与数据主权原则保持一致.
科学领域:
- 公共卫生和流行病学
- 土著健康研究土著健康研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 潜在可预防住院 (PPH) 是非医院护理有效性的关键指标,使用国际疾病分类 (ICD) 代码.
- "为第一民族人民进行预防性健康评估的国家指南"确定了通常不包括在PPH中的健康状况.
- 需要采取与第一民族初级医疗保健优先事项和数据主权一致的卫生措施.
研究的目的:
- 评估总结性住院措施的价值,与"第一民族初级卫生信息国家指南"保持一致.
- 开发和展示一个原型ICD-10数据规范,用于第一民族初级医疗保健 (FNPHC) 住院.
- 为了比较FNPHC和PPH措施之间的年龄标准化住院率.
主要方法:
- 开发了一种原型ICD-10数据规范,用于第一民族初级医疗保健 (FNPHC) 住院.
- 对于 FNPHC 和 PPH 分类,从 2016-17 年到 2019-20 年的年龄标准化住院率进行了检查.
- 评估了跨司法管辖区的FNPHC和PPH费率之间的相关性和差异.
主要成果:
- 与PPH相比,FNPHC住院率是主要诊断的1.5-2.5倍,额外诊断的6-12倍.
- 在所有观测中,在FNPHC和PPH率之间观察到强烈的正相关性.
- 具有更高PPH率的司法管辖区在定制FNPHC规范下也表现出更高的比率.
结论:
- 开发的FNPHC数据规范证明了作为第一民族初级保健提供者的总结措施的价值.
- 这些发现支持将第一民族数据主权和治理原则纳入初级卫生措施.
- 需要进一步的研究来验证FNPHC数据规范的文化适当性和更广泛的适用性.
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