在初级保健中为慢性呼吸障碍管理提供数字支持:BREATHE (呼吸障碍快速评估和治疗) 集群随机对照试验协议
Allison Martin1,2, Anthony Paulo Sunjaya3,2, Katrina Giskes4
1The George Institute for Global Health, Sydney, New South Wales, Australia ahumphries@georgeinstitute.org.au.
BMJ open
|December 31, 2025
概括
这项研究评估了一种临床决策支持系统 (CDSS),以改善澳大利亚初级保健中的慢性呼吸障碍诊断和管理. 该CDSS旨在提高患者的治疗成果,缩短诊断时间,降低医疗保健成本.
科学领域:
- 初级保健研究研究初级保健研究
- 数字健康干预措施 数字健康干预措施
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性呼吸障碍是常见的,但往往是不充分报告的,并且很难在初级保健中诊断出来.
- 澳大利亚缺乏针对慢性呼吸障碍的验证的临床决策支持系统 (CDSS).
- 自动查和CDSS可以改善检测,诊断和管理.
研究的目的:
- 评估CDSS对澳大利亚初级保健中的慢性呼吸障碍的临床影响.
- 评估CDSS是否能改善患者报告的呼吸障碍得分,缩短诊断时间,降低医疗保健成本.
- 为了比较CDSS指导的管理与慢性呼吸不良的标准护理.
主要方法:
- 开放标签,集群随机对照试验,涉及40个一般实践.
- 随机对标准护理或预先查以及CDSS引导的管理进行实践.
- 患者接受SMS查;符合条件的参与者接受了12个月的跟踪,主要结果是Dyspnoea-12得分的改善.
主要成果:
- 主要结局:12个月后呼吸不良-12分的改善.
- 二次结果:特定疾病问卷,诊断的时间,生活质量,医疗保健利用和成本.
- 数据收集和分析计划在招聘后的12个月内进行.
结论:
- 这项BREATHE研究将提供关于CDSS在初级保健中治疗慢性呼吸障碍的有效性的证据.
- 调查结果可能有助于实施数字健康工具,以改善呼吸系统护理.
- 这项研究解决了澳大利亚慢性呼吸不良的验证诊断和管理支持的关键缺口.
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