在31个欧洲国家通过Delphi分析确定初级医疗保健的基本COVID-19指标:Eurodata eDelphi研究
Maria Pilar Astier Peña1,2,3,4, Raquel Gómez Bravo5,6,7, Ileana Gefaell Larrondo8
1Universitas Health Centre, Zaragoza, Spain.
European journal of public health
|August 14, 2025
概括
通过专家共识确定了COVID-19的标准化初级医疗保健 (PHC) 指标. 这项工作旨在改善国际数据可比性和在卫生紧急情况下的公共卫生决策.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行突显了初级医疗保健在监测和决策中的关键作用.
- 电子健康记录 (EHR) 和哨兵网络是监测欧洲COVID-19的关键.
- 缺乏标准化的PHC指标阻碍了国际数据的可比性.
研究的目的:
- 为了在31个欧洲国家实现对COVID-19的标准化PHC活动指标的共识.
- 加强卫生当局的决策能力和对未来健康危机的准备.
主要方法:
- 一项两轮的eDelphi研究,涉及来自Eurodata研究的164名专家.
- 专家们根据疫情期间的可用性评估了86个建议指标的相关性和实用性.
- 遵守基于网络的结构化调查的CREDES指南.
主要成果:
- 在最初的22个指标中有7个达成共识;两个仍然存在争议.
- 在人们对哨兵网络和PHC数据可访问性的认识方面,发现了显著的差异.
- 共识强调需要标准化,可复制和易于提取的指标,按年龄,性别和疫苗接种情况进行分类.
结论:
- 通过专家共识确定了PHC的COVID-19关键指标.
- 医疗保健提供者和公共卫生当局之间的加强合作对于协调指标至关重要.
- 这种协调对于在国家和国际层面有效应对未来的卫生紧急情况至关重要.
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