检查老年人一般实践咨询频率的变化 - 全国注册研究
Jonas Korsholm Olsen1, Sonja Wehberg2, Frans Boch Waldorff3
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark jkolsen@health.sdu.dk.
BJGP open
|February 3, 2026
概括
一般实践显示,他们与老年人咨询的频率有显著的差异. 这种变化并不能用实践特征来解释,这表明其他因素也会影响咨询频率.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 丹麦老年人的初级护理由自主通用诊所提供.
- 越来越多的老年人群需要了解医疗保健提供变化.
研究的目的:
- 调查丹麦老年人咨询频率的实践水平变化.
- 检查实践因素与咨询频率变化之间的关联,根据患者的特征进行调整.
主要方法:
- 2017-2021年75岁以上丹麦居民的全国性队列研究.
- 零膨胀的波桑回归和漏斗图分析了咨询频率.
- 多项逻辑回归评估了实践因素和系统变化之间的关联.
主要成果:
- 该研究包括2017年超过468,000名老年人,到2021年增加到超过569,000人.
- 2021年,每位老年人的平均咨询频率为10次 (面对面,电话,电子邮件,家庭访问,慢性护理审查).
- 4-9%的一般诊所显示咨询频率的变化超出了机会,与GP的数量,年龄或性别等实践层面因素无关.
结论:
- 在老年人的一般实践中,咨询频率存在显著的系统变化.
- 需要进行进一步的研究,以探索这些咨询频率在实践层面的变化对患者的影响.
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