骨质疏松症治疗的方案方法:从20年的纵向研究中获得的洞察力
Lillian Chang1,2, Nneka Chukwu1, Thomas Olenginski1
1Geisinger Health System, Danville, PA, USA.
概括
与国家基准相比,结构化骨质疏松症诊所显著提高了患者治疗率. 这种专注护理模式有效地解决了骨质疏松症管理的差距,在20年内改善了患者的治疗结果.
科学领域:
- 骨质疏松症管理管理
- 公共卫生 公共卫生
- 临床护理模型 临床护理模型
背景情况:
- 骨质疏松症仍然是一个服务不足的疾病,治疗率低于最佳水平.
- 进行了20年的分析,以评估专门的骨质疏松症护理计划的影响.
- 了解治疗趋势对于改善患者护理和治疗结果至关重要.
研究的目的:
- 评估骨质疏松症护理计划对二十年治疗率的影响.
- 为了比较不同护理机构的治疗率,包括初级保健医生 (PCP) 和专科/骨质疏松诊所.
- 为了确定影响骨质疏松症治疗坚持的因素.
主要方法:
- 从2002年到2022年,对44,135名患者的病历进行了回顾性分析.
- 在七个三年期间评估了三年和五年骨质疏松症治疗趋势.
- 使用奇平方,费舍尔精确测试和基于访问类型,保险,性别和种族的概括估计方程 (GEE) 的后勤回归进行统计比较.
主要成果:
- 在研究期间,整体骨质疏松症治疗率从73.9%降至56.5% (3年),从72.7%降至47.4% (5年).
- 与PCP诊所相比,骨质疏松症诊所的治疗率明显高 (p < 0.0001).
- 女性的整体治疗率高于男性,而治疗率在保险类型和种族之间是相似的.
结论:
- 与全国平均水平相比,专门的骨质疏松症护理模式显著提高了治疗率.
- 与初级保健机构相比,骨质疏松症诊所在治疗率方面表现优越.
- 尽管有所改善,但治疗中的性别差异仍然存在,突出显示了未来干预的领域.
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