智利国家初级保健慢性疾病查战略的表现:混合方法分析
Paula Zamorano1,2, Teresita Varela3,4, Isidora Salvatierra1
1Facultad de Medicina, Innovación ANCORA UC, Pontificia Universidad Católica de Chile, Diagonal Paraguay, 362, Santiago, Chile.
BMC health services research
|August 20, 2025
概括
智利 智利 智利 智利
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性非传染性疾病的增加需要强有力的初级保健预防策略.
- 智利的国家预防性健康查针对成年人高血压,糖尿病和脂质失调等危险因素.
- 该计划广泛应用于初级保健机构.
研究的目的:
- 评估智利成人预防性健康查计划的表现.
- 了解医疗保健专业人员对查实施的看法.
主要方法:
- 一个融合的混合方法研究,结合了定量和定性方法.
- 在2023年选的36207名成年人 (15-64岁) 的回顾性队列研究.
- 在线调查以评估医疗保健专业人员对查途径的看法.
主要成果:
- 查完成率为61.5%,其中单步检查率最高 (例如高血压,肥胖).
- 获得多步骤诊断行动 (例如癌症,糖尿病,脂质失调症查) 的机会显著下降.
- 长期等待时间 (长达179天) 观察到诊断后续检查,特别是心血管疾病.
结论:
- 智利的预防性查高度实施,但显示诊断后续检查的完成率极低.
- 迫切需要做出政策变化,以确保在诊断途径上积极跟进.
- 改善后续检查可以提高早期诊断,并预防心血管疾病和癌症的并发症.
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