病发病率的上升以及全科医生日益增加的负担
Saskia C van der Boor1, Ines Figaroa1,2, Annemarie A Uijen1
1Radboud university medical center, Research Institute for Medical Innovation, Department of Primary and Community Care, Nijmegen, Netherlands.
BJGP open
|August 8, 2025
概括
病发病率呈指数级上升,增加了一般实践的负担. 公共卫生干预对于制传播和管理这种日益增长的初级保健挑战至关重要.
科学领域:
- 流行病学 流行病学
- 初级医疗保健医学 一级医疗保健医学
- 公共卫生 公共卫生
背景情况:
- 病发病率在欧洲正在增加,但由于其非通报状态,其对初级保健的影响仍未得到充分研究.
- 一般医生 (GPs) 在病管理中起着至关重要的作用,但对初级保健服务的负担尚不清楚.
研究的目的:
- 在一般实践中评估与有关的病例的流行病学.
- 在初级保健机构评估与管理相关的护理负担.
主要方法:
- 一项回顾性纵向研究分析了2014年至2023年间荷兰五家全科医院近4万名患者的伪名数据.
- 在低发病期 (2014-2020年) 和高发病期 (2021-2023年) 之间比较了发病率,患者和医生的延迟以及护理负担.
主要成果:
- 发病例从每10万患者年增加99至1341,病例数显著增加,特别是在年轻人 (17-25岁) 和女性中.
- 患者寻求护理的延迟减少,初始诊断率有所改善,而没有干预的遭遇显著下降.
- 人均医疗处方和转诊的数量显著增加,这表明护理负担增加.
结论:
- 该研究显示,病发作数量呈指数级增长,大大增加了全科医院的工作量.
- 建议采取紧急的公共卫生干预措施,以控制在发生率上升的地区感染的传播.
- 一个协调的临床和公共卫生战略对于有效地管理在初级保健中日益增长的挑战至关重要.
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