消除与环境健康相关的疾病的神秘性:使用ICD代码来促进环境健康临床转诊
Melissa Stoneham1, Peter Schneider2, James Dodds3
1Curtin University, Australia.
环境健康问题显著影响土著和托雷斯海峡岛民,导致疾病负担. 将环境健康临床转诊 (EHCR) 与ICD代码标准化,可以改善初级保健并打破疾病循环.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 土著健康土著健康
背景情况:
- 原住民和托雷斯海峡岛民的疾病负担是澳大利亚普通人口的2.3倍.
- 环境健康因素对健康不平等作出了重大贡献,占差距的30-50%.
- 目前的环境健康临床转诊 (EHCR) 倡议缺乏司法一致性,阻碍了解决复发性家庭疾病的努力.
研究的目的:
- 解决澳大利亚司法管辖区环境健康临床转诊 (EHCR) 的不一致问题.
- 推一个标准化的系统来识别和分类环境健康风险.
- 改进环境健康问题的诊断和可比性,在不同的卫生服务和地点.
主要方法:
- 建议使用国际疾病和相关健康问题统计分类 (ICD) 系统对环境健康风险.
- 建议制定一个双方同意的环境健康可归因疾病清单.
- 建议在EHCR过程中为这些疾病分配ICD-10-AM代码.
主要成果:
- 拟议的方法允许准确诊断和环境健康风险的可比性.
- 与现有ICD系统的整合有助于在整个卫生服务中采用.
- 标准化提高了在家庭环境中打破疾病循环的潜力.
结论:
- 使用ICD-10-AM代码实施标准化的EHCR流程将改善对环境健康影响的初级保健认可.
- 环境卫生工作人员可以为社区和家庭提供有针对性的响应和教育.
- 这种方法对于打破土著社区可预防疾病的循环至关重要.
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