行为改变干预是否可以用于解决初级保健中与工作相关的喘缺乏认可的问题? 一个系统的审查
Gareth Iestyn Walters1,2, Harriet Foley3, Christopher Charles Huntley3,2
1Insitute of Applied Health, University of Birmingham, Birmingham, United Kingdom g.i.walters@bham.ac.uk.
BJGP open
|November 20, 2024
概括
没有行为改变干预措施 (BCI) 专门针对初级保健中的与工作相关的喘 (WRA) 识别. 然而,用于其他慢性疾病的方法可以适应,以开发有效的WRA病例查找工具.
科学领域:
- 职业医学 职业医学 职业医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与工作相关的喘 (WRA) 很常见,但在英国的初级保健机构中经常被忽视.
- 在初级保健中缺乏WRA的有效识别策略.
研究的目的:
- 为初级保健机构确定行为改变干预措施 (BCI),旨在识别WRA.
- 探索其他慢性疾病的BCI,这些BCI可以适应WRA识别.
主要方法:
- 1946年至2023年间发表的研究的系统综述和叙事综合.
- 搜索了主要数据库 (Cochrane,Embase,PsycINFO,Ovid MEDLINE) 的BCI,以初级保健为目标.
- 包括从768个获取引用中获取的14项研究,重点关注医疗保健专业人员和/或患者的干预措施.
主要成果:
- 没有专门关注识别喘或WRA的研究.
- BCI是为查计划,指南实施和其他慢性疾病的个体病例发现而开发的.
- 通过查遵守,临床医生的能力和满意度来衡量有效性,而不是诊断率.
结论:
- 目前,没有BCI专门设计用于初级保健中WRA识别.
- 其他慢性疾病的现有BCI使用可转移的方法,可适应WRA.
- 需要进一步开发以创建基于初级保健的BCI来发现WRA病例.
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