根据健康风险对人口进行分层:通过共识技术识别患者的关键健康风险因素
Carolina Castagna1, Andrew Huff1, Aaron Douglas2
1Jefferson College of Population Health, Thomas Jefferson University, 901 Walnut Street, 10th Floor, Philadelphia, PA, 19107, USA.
BMC primary care
|July 19, 2025
概括
专家共识确定了用于初级保健风险分层工具的关键临床和社会因素. 高龄,多药性和认知障碍在预测健康恶化方面具有很高的权重.
科学领域:
- 人口健康管理 人口健康管理
- 医疗保健信息学 医疗保健信息学
- 临床决策支持 临床决策支持
背景情况:
- 风险分层对于管理人口健康至关重要,特别是在初级保健中.
- 它有助于识别高风险个体,以便及时进行干预,改善结果并降低成本.
- 这项研究的目的是建立专家对初级保健风险分层工具的因素的共识.
研究的目的:
- 为了在临床和社会人口统计学患者因素上达成专家共识,以实现初级保健风险分层.
- 在初级保健机构的背景下定义健康风险.
- 制定一个权衡的框架来识别有风险的患者.
主要方法:
- 一个由24名医疗保健专业人员组成的多学科小组使用了名义组技术和修改后的Delphi过程.
- 根据临床/社会相关性和电子医疗记录的可用性确定了因素.
- 共识 (≥75%的同意) 通过利克特级别评级和中位数重要性值来确定因素的重要性.
主要成果:
- 健康风险被定义为健康状况恶化的可能性,导致在一年内住院或死亡.
- 31个临床和社会因素达到了共识,其中老年,多药,癌症,认知障碍和心理社会困扰具有很高的权重.
- 其他重要因素包括功能衰竭,中风,心力衰竭以及之前的住院治疗/急救诊所.
结论:
- 建立了一个强大的初级保健风险分层框架,支持意大利医疗改革.
- 该工具的预测性能将在未来阶段使用患者数据进行验证.
- 将评估对医疗保健政策和实践的影响.
关键词:
协商一致的方法 协商一致的方法德尔菲是什么意思 德尔菲是什么意思 德尔菲是什么意思健康风险因素健康风险因素名称组技术 名称组技术人口健康管理 人口健康管理主要的护理是初级护理.风险分层是指风险的分层.社会人口统计学风险因素更多相关视频
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