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干预过度使用在澳大利亚大都会的全科医院儿科护理
Tammy Meyers Morris1, Lena Sanci2, Alannah Rudkin3
1MBBCh, MMed, FRACP, PhD, Senior Staff Specialist, Population Child Health Research, School of Clinical Medicine, UNSW, Sydney,@NSW.
低价值儿科护理 (LVC) 在10.2%的咨询中发生,过度使用抗生素治疗呼吸道感染是常见的. 经验丰富的全科医生和男性全科医生更有可能提供LVC.
科学领域:
- 初级保健研究研究初级保健研究
- 儿科卫生服务 儿科卫生服务
- 卫生经济学 卫生经济学
背景情况:
- 在儿科初级保健中,低价值护理 (LVC) 不是常规评估.
- 了解LVC的患病率和驱动因素对于改善医疗保健质量至关重要.
- 在儿科咨询中过度使用干预措施有助于增加医疗保健成本和潜在的患者伤害.
研究的目的:
- 评估一般医生提供的低价值儿科初级保健 (LVC) 的流行情况.
- 为了确定与提供LVC相关的GP特征.
- 为了估计普通儿科疾病的医生提供的LVC的成本.
主要方法:
- 分析来自悉尼和墨尔本22家全科医院的患者级数据.
- 一般医生调查以收集有关实践特征的数据.
- 确定LVC干预措施的成本评估.
主要成果:
- 在10.2%的儿科咨询中提供了LVC.
- 对上呼吸道感染的抗生素占LVC的很大一部分 (11.4%).
- 经验超过15年的全科医生,男性全科医生和批量发票实践与较高的LVC率有关.
结论:
- 在城市的全科医生中,价值较低的儿科护理仍然存在.
- 需要有针对性的质量改进策略,重点关注GP的特点.
- 解决LVC可能会加强儿科初级保健,并减少医疗保健支出.
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