间歇性肺病患者路径:从转诊到诊断
Graham Lough1, Rayid Abdulqawi2, Gina Amanda3
1Respiratory Effectiveness Group, Ely, UK.
ERJ open research
|March 5, 2025
概括
间歇性肺病 (ILD) 患者护理途径在ILD专家和非专家中心之间存在显著差异. 专科中心提供更好的资源,诊断和治疗机会,影响患者的治疗结果.
科学领域:
- 肺部病理学 肺部病理学
- 医疗保健管理的管理
背景情况:
- 间歇性肺病 (ILD) 患者的诊断和治疗途径各不相同,在ILD专家和非ILD专家中心之间存在潜在的差异.
- 由于COVID-19大流行,需要对ILD患者的诊断途径进行调整.
- 这项研究比较了在专家中心与非专家中心的ILD患者的旅程,检查了转诊,诊断,多学科团队 (MDT) 实践和资源获取.
研究的目的:
- 研究和对比ILD专家中心与非ILD专家中心的间歇性肺病 (ILD) 患者的诊断和治疗途径.
- 为了确定这些中心类型之间的资源可用性,诊断工具利用率,MDT会议实践和治疗机会的差异.
主要方法:
- 从2022年9月到2023年1月进行了一项全球性,跨部门,自选调查.
- 参与者包括来自世界各地的ILD专家和非ILD专家中心的ILD专家和医疗保健专业人员 (HCP).
主要成果:
- 来自64个国家的363名受访者参与了调查;259名来自专业中心,104名来自非专业中心.
- 在ILD专家中心,他们展示了优越的资源可用性,更高的诊断测试利用率 (中位数为12对9个测试),以及在MDT会议上更容易获得专业专业 (中位数为6对3个专业).
- 虚拟MDT会议增加了各中心的参与,专业中心可以更好地获得抗纤维素药物 (91%vs60%).
结论:
- 在ILD专家中心和非ILD专家中心之间,ILD患者的诊断途径存在显著差异.
- 资源和专家专业知识的差异为ILD患者创造了不平等的护理环境.
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