在一般医生设置中获得广泛同意的健康差异和选择偏见
Christine Brütting1, Konstantin Moser1, Marcus Heise1
1Institute of General Practice and Family Medicine, Center of Health Sciences, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.
Frontiers in medicine
|September 29, 2025
概括
在门诊环境中为电子健康记录研究提供广泛同意 (BC) 的患者往往年龄较大,患有更多慢性疾病,并且与全科医生人口相比使用更多的医疗保健服务,这表明潜在的选择偏见.
科学领域:
- 医疗信息学 医疗信息学
- 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:
- 广泛同意 (BC) 对于门诊机构的电子健康记录 (EHR) 研究至关重要.
- 在这种情况下,与BC相关的潜在选择偏差需要进行调查.
- 德国的BeoNet-Halle门诊数据库通过BC.收集EHR数据.
研究的目的:
- 为了比较提供BC的患者和全科医生群体之间的健康相关参数.
- 评估在EHR研究中使用BC在门诊环境中的潜在选择偏差.
主要方法:
- 一个单一中心,截面研究于2021年2月至2023年5月进行.
- 将提供BC的患者与来自同一实践的参考人群 (RP) 进行比较.
- 从BeoNet-Halle数据库中提取有关健康状况,发病率和医疗保健使用情况的数据.
主要成果:
- 分析了5034名患者 (BC组:439,RP组:4595).
- BC组患者年龄较大,与医生接触较多,慢性病发病率较高.
- 在BC组的患者中,向专家的转诊次数增加,药物处方率更高.
结论:
- 年龄,多病症,医疗保健联系人,转诊和药物使用的差异表明选择偏差.
- 研究结果表明,提供BC的患者可能不代表一般门诊患者群体.
- 可通用性仅限于类似的德国集团实践;需要多站点验证.
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