经常与全科医院接触的患者的特征:一项回顾性研究
Jesper B Nielsen1, Helene S Andersen2
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark jbnielsen@health.sdu.dk.
BJGP open
|July 29, 2025
概括
在一般实践中,经常出诊的患者通常是使用更多资源的老年女性. 了解它们的特征有助于优化医疗保健资源配置.
科学领域:
- 一般实践 一般实践
- 医疗保健资源利用情况 医疗保健资源利用情况
- 患者的人口统计数据
背景情况:
- 常见医务人员,定义为每年有超过11次接触的患者,消耗不成比例的更多的全科医院资源.
- 识别常客的特征对于有效的医疗保健管理至关重要.
研究的目的:
- 根据年龄,性别,接触方式和与全科医生 (GPs) 与全科医生工作人员的互动来描述一般实践中经常出诊的患者.
- 分析频繁参加医疗保健者使用医疗保健的模式.
主要方法:
- 对来自丹麦11家全科医院的患者数据进行了回顾性分析.
- 在12个月的时间里,参与了38874名患者,使用了双变量和回归分析.
主要成果:
- 随着年龄的增长,经常出院的患病率会增加,在75岁及以上的患者中,患病率达到48%.
- 与其他患者相比,常见的护理人员表现出明显的联系模式,更多地使用电子邮件,与实践人员的互动更多,而不是一般医生.
- 丹麦22%的患者被确定为经常出院者.
结论:
- 常见的患者主要是女性,年龄超过65岁,每年约有20次接触,至少有10次诊断.
- 总体医生处理的频繁出诊者 (36%) 接触的比例较低,与一般患者群体相比 (64%由工作人员处理).
- 针对性干预和资源分配策略可以通过这些人口和利用模式来获取信息.
相关概念视频
Data Collection by Observations
12.8K
Data collection refers to a systematic way of obtaining, observing, measuring, and analyzing accurate information. Observational studies are one of the most widely used methods of data collection. It involves collecting data by observing the behavior and physical characteristics of a sample without making any modifications to the sample.
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
12.8K
Observational Studies
9.0K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
9.0K
Data Collection I
6.6K
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
6.6K
Longitudinal Research
12.5K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.5K
Purpose of Health Records II
1.0K
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
1.0K
Methods of Documentation II: POMR
1.1K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.1K


