一般实践中的慢性护理提供和与患者水平结果的关联:全国性的队列研究
Anders Prior1,2, Claus Høstrup Vestergaard3, Nynne Bech Utoft4
1Research Unit for General Practice, Aarhus, Denmark. anders.prior@ph.au.dk.
BMC medicine
|July 6, 2025
概括
一般实践中的高慢性护理提供与减少潜在不合适的药物 (PIMs) 和减少可预防的住院治疗有关. 这项研究强调了综合性慢性护理管理对患者结果的好处.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 一般实践 一般实践
- 患者的治疗结果.
背景情况:
- 一般实践是长期条件管理的核心.
- 慢性护理提供对患者结果的国家影响仍未得到充分研究.
- 这项研究调查了慢性护理服务与患者不良事件之间的关联.
研究的目的:
- 检查全科医院慢性护理提供与潜在不合适药物 (PIMs) 之间的关系.
- 评估慢性护理服务与可能可预防的住院治疗之间的关联.
- 通过链接的卫生登记册数据,在国家一级评估这些协会.
主要方法:
- 在丹麦 (2019年) 的442万成年患者中进行的一项全国性队列研究.
- 实践被分为低,中,高水平的慢性护理服务提供.
- 结果包括使用PIM (修改的STOPP-START标准) 的患者日和可能可预防的住院治疗,并根据患者因素进行调整.
主要成果:
- 高度的慢性护理咨询与1.2%的PIM风险降低有关.
- 高度的慢性护理程序与PIM风险降低1.7%,可预防住院风险降低8.6%.
- 观察到一种反向的剂量反应关系;在实践和患者子组中,研究结果一致.
结论:
- 一般实践中慢性护理的增加与减少PIM和可预防的住院住院有关.
- 无论实践特征或患者群体,都观察到这些积极的结果.
- 这表明,在初级保健机构加强慢性护理服务可以提高患者的安全性,并减少医疗保健的利用率.
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