绘制卫生保健需求:对人口分层工具的系统审查
Giovanni Genovese1,2, Caterina Elisabetta Rizzo1,2, Antonio Nirta1,3
1Department of Biomedical Sciences and Morphological and Functional Images (BIOMORF), University of Messina, Via Consolare Valeria, 1, 98124 Messina, Italy.
Medical sciences (Basel, Switzerland)
|August 22, 2025
概括
人口分层工具有助于管理慢性疾病和老龄化人口,通过识别高需求的个人. 这项审查评估了17种工具,但在意大利仅使用了6种,这凸显了医疗保健方面需要更好的资源配置.
科学领域:
- 医疗服务研究
- 公共卫生
- 健康经济学
背景情况:
- 2021年意大利的医疗保健支出占GDP的7.3%,其中80%用于慢性疾病管理.
- 人口老龄化增加了慢性疾病的负担,需要有效地分配资源.
- 人口分层工具对于识别高需求,高成本的个体至关重要.
研究的目的:
- 系统地识别,分类和评估人口分层工具.
- 根据特性,验证和实际应用来评估工具.
- 了解这些工具在意大利医疗保健系统中的当前使用情况.
主要方法:
- 按照PRISMA 2020指南进行系统文献审查.
- 在主要科学数据库中搜索成年人群分层模型.
- 包括国家和国际研究和实施.
主要成果:
- 从140,111个记录中确定了17种不同的分层工具.
- 在同行评审的研究中验证了9种工具.
- 意大利正在积极使用六种工具,其中三个是特定区域的,另外三种是使用国际平台的.
结论:
- 人口分层工具有助于评估临床复杂性和资源利用.
- 这些工具支持综合护理途径和基于证据的政策决策.
- 它们对于主动,个性化的医疗保健至关重要,
相关概念视频
Stratified Sampling Method
12.8K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
To choose a stratified sample, divide the population into groups called strata and then take a...
To choose a stratified sample, divide the population into groups called strata and then take a...
12.8K
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Strategies for Assessing and Addressing Confounding
155
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
155
Documentation in Long-Term and Home Healthcare Setting
984
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
984
Comparing the Survival Analysis of Two or More Groups
285
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
285
Integrated Healthcare System
1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K


