苏格兰初级保健数据中的每年喘审查的流行率和预测因素:一项观察性研究
Holly Tibble1,2, Alexandria Ming Wai Chung3,4
1Usher Institute, University of Edinburgh, Edinburgh, UK htibble@ed.ac.uk.
BJGP open
|October 2, 2024
概括
建议每年进行喘检查,以提供积极的护理,但许多患者错过了这些检查. 年轻成年人 (18-35岁) 和缺少地址数据的人最不太可能参加,突出了预防性喘管理的差距.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 初级保健管理管理初级保健管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喘管理指南建议定期进行初级保健审查.
- 这些审查评估症状,调整治疗,并提供自我管理支持和行动计划.
研究的目的:
- 为了确定每年喘病例的发生率,进行喘评估.
- 确定与患者参加这些审查相关的因素.
主要方法:
- 使用电子健康记录在苏格兰的49,307名喘患者 (2000-2017年) 的观察性研究.
- 分析的重点是13,726名至少有5次喘 (2008-2016) 的患者.
- 多变量后勤回归分析了相关的处方和人口统计数据.
主要成果:
- 审查之间的中位时间为381天.
- 上一年的回顾强烈预测了下一年的情况 (OR 1.76).
- 喘咨询 (不是审查) 降低了审查的可能性 (OR 0.48).
- 年轻成年人 (18-35岁) 和缺少地址的患者不太可能参加审查.
结论:
- 许多患者接受反应性而不是结构化,预防性喘护理.
- 了解不出席因素可以改善审查邀请和健康公平.
- 需要有针对性的策略,以确保所有患者都接受推的年度喘检查.
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