使用Delphi方法制定慢性疾病清单,以研究初级保健中的多病症
Alexandre Malmartel1, Juliette Pinot2, Marie Ecollan3
1Université Paris Cité, Département de Médecine Générale, F-75014, Paris, France; Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and Statistics (CRESS), F-75004, Paris, France.
为了法国的初级保健,制定了一份135种慢性疾病的新清单. 这种工具将有助于改善一般实践中多病症的研究.
科学领域:
- 初级保健研究研究初级保健研究
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 多发病是初级保健中日益关注的问题.
- 对慢性病的准确数据是有效的患者管理所需的.
- 现有的工具可能无法充分捕捉不同患者群体中多病症的复杂性.
研究的目的:
- 创建一个经过验证的法语语言慢性疾病清单.
- 促进法国初级保健机构对多病患者的详细分析.
- 支持未来关于多病发病率和影响的研究.
主要方法:
- 一个三步的过程,包括德尔菲研究和多中心的横截面研究.
- 专家小组对国际初级保健分类-2 (ICPC-2) 项目进行了审查.
- 测试和完善名单与全科医生和门诊患者.
主要成果:
- 最初的726件ICPC-2项目由12名专家进行了审查.
- 经过两轮Delphi和专家选择,建立了124项的初步清单.
- 最终的清单包括135种慢性疾病,通过专家共识和临床测试来验证.
结论:
- 一个强大的方法产生了135种慢性疾病的验证清单.
- 该列表是实用的,用于初级保健医生.
- 这种资源将提高法国一般医院的多病症研究的准确性.
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