干预心脏病学家对外科医院外科中心皮肤冠状动脉干预的看法
Thomas R Basala1,2, Michaella Alexandrou1, Dimitrios Strepkos1
1Center for Coronary Artery Disease, Minneapolis Heart Institution Foundation and Minneapolis Heart Institute, Minneapolis, Minnesota, USA.
概括
大多数干预性心脏病学家支持在门诊外科中心 (ASC) 进行皮肤冠状动脉干预 (PCI),理由是患者的经验和效率. 对私募股权和医院以外的不良事件仍然存在担忧.
科学领域:
- 心脏病学 心脏病学
- 医疗保健政策 医疗保健政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预计穿皮冠状动脉干预 (PCI) 的数量将在门诊外科中心 (ASC) 增加.
- 了解干预心脏病学家对ASC PCI的看法对于未来的医疗保健服务至关重要.
- 向门诊程序的转变需要评估PCI的新设置.
研究的目的:
- 评估干预心脏病学家对在ASC中进行的PCI的知识和观点.
- 确定与ASC PCI相关的感知好处和担忧.
- 为了衡量PCI服务在门诊环境中扩展的支持.
主要方法:
- 一个匿名的,58个问题在线调查分发给美国的干预心脏病专家.
- 该调查收集了有关ASC PCI的人口统计,知识,信心和意见的数据.
- 分析包括参与者反应的描述性统计数据和子组比较.
主要成果:
- 大多数接受调查的心脏病专家 (59%) 支持ASC PCI,理由是改善患者体验,效率和降低成本等好处.
- 虽然许多人对患者选择有信心 (63%),但很大一部分人对ASC PCI法规缺乏熟悉 (43%).
- 关键问题包括私募股权参与 (58%),不良事件 (47%),护理质量 (39%) 和患者选择 (40%).
结论:
- 干预性心脏病学家在很大程度上支持ASC PCI,认识到其潜在的优势.
- 关于ASC PCI的财务利益,患者安全和监管监督,仍然存在重大担忧.
- 需要进一步的研究和明确的指导方针来解决这些问题,并促进安全的ASC PCI扩展.
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