在澳大利亚使用电子医疗记录数据的一般实践中探索慢性病查,诊断和管理

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Daniel Petzke¹, Christine Mary Hallinan¹, Judy Trevena^1,2

¹Department of General Practice and Primary Care, Melbourne Medical School, University of Melbourne, Melbourne, Australia.

BMC nephrology

|July 21, 2025

概括

澳大利亚的初级保健数据显示慢性病 (CKD) 记录和监测率较低,突出了质量改善的机会. 应用加拿大CKD质量指标显示了诊断和管理方面的重大差距,影响了患者的护理.

科学领域:

初级护理研究初级护理研究
腎臟病學 (nephrology) 是一種醫學.
医疗服务研究医疗服务研究

背景情况:

慢性病 (CKD) 是一个全球性的健康负担,在初级保健中经常被忽视.
在加拿大开发的质量指标被调整为评估澳大利亚的CKD护理.
使用了来自澳大利亚全科医院的电子病历 (EMR) 数据.

研究的目的:

评估将加拿大CKD质量指标应用于澳大利亚初级保健EMR数据的可行性.
评估澳大利亚一般实践中CKD检测和管理实践的现状.

主要方法:

使用了来自Patron存储库的非识别EMR数据,涵盖了78个澳大利亚的一般做法.
应用了16个经过验证的加拿大CKD质量指标来评估诊断,监测和治疗.
这些指标包括临床/病理测试,药物处方 (抗高血压剂,他类药物) 和流感免疫率.

主要成果:

在362,078名患者中,只有28.1%的CKD一致的病理有记录的CKD诊断.
在EGFR<60毫升/分钟/1.73米2的患者中,只有54.2%的人重复EGFR,28.8%的人进行了ACR测试.
风险患者的查率在18个月内显示了76.1%的eGFR和34.2%的ACR测试.
监测率略高;71.1%的人记录了血压,45%的人达到血压目标.

结论:

加拿大CKD质量指标适用于澳大利亚初级保健EMR数据,产生可比的见解.
低CKD文档和病理监测率表明质量改善的巨大潜力.
需要针对改善CKD诊断和管理的倡议,以减少疾病负担.

关键词:

慢性脏疾病慢性脏疾病流行病学流行病学一般的做法一般的做法.主要的护理是初级护理.初级保健数据初级保健数据

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