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耳对荷兰一般实践的影响:使用例行医疗保健数据的回顾性研究
Julia M Bes1, Robert A Verheij1,2,3, Bart J Knottnerus1
1Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
PloS one
|November 15, 2024
概括
耳发病率正在上升,导致医疗保健的使用增加,特别是对于二级护理转诊. 耳患者已经更多地使用服务,突出了潜在的健康差异,需要进一步调查以进行有针对性的预防.
科学领域:
- 初级保健研究研究初级保健研究
- 流行病学 流行病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 全球耳声的发病率为15%,并且正在上升,增加了对护理的需求.
- 越来越多的耳声病例可能会影响医疗保健的可获得性.
- 了解医疗保健利用模式对于管理这个不断增长的患者群体至关重要.
研究的目的:
- 描述荷兰耳患者的疾病发病率趋势和医疗保健利用情况.
- 将诊断前和诊断后的 tinnitus 患者的医疗保健使用与匹配的对照进行比较.
主要方法:
- 从2012-2021年对电子健康记录的回顾性分析.
- 匹配的队列研究比较耳患者 (1:2) 与没有耳的对照.
- 使用回归模型分析全科医生联系人,处方和二次护理转诊情况.
主要成果:
- 从2012年到2021年,耳发病率上升了33%,年轻人 (20-44岁) 显著增加.
- 耳患者在诊断后增加了医疗保健利用率,特别是在转诊方面 (OR 1.99).
- 耳患者在耳诊断之前就有更高的GP咨询和转诊率.
结论:
- 尽管发病率上升,绝对患者人数仍然是全科医生可以管理的.
- 耳诊断后医疗保健的使用增加,特别是二级护理是显而易见的.
- 在声患者中,医疗保健利用率较高的预先存在表明,潜在的差异需要有针对性的预防策略.
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