多种疾病模式及其与患者感知治疗负担的关联:对14344名丹麦成年人的潜在类分析
Marie Hauge Pedersen1,2, Mathias Lasgaard1,3, Camilla Palmhøj Nielsen1,2
1DEFACTUM - Public Health Research, Central Denmark Region, Aarhus, Denmark.
Journal of multimorbidity and comorbidity
|March 6, 2026
概括
显而易见的多病症模式显著增加了成年人的治疗负担. 识别这些复杂的疾病集群可以指导医疗保健规划和资源分配,以改善患者护理.
科学领域:
- 公共卫生 公共卫生
- 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:
- 多病症,即多种慢性疾病的存在,对医疗保健系统构成重大挑战.
- 了解多病症的不同模式对于有效的管理和资源配置至关重要.
研究的目的:
- 根据其多病症模式来识别不同的人口群体.
- 检查这些已识别的模式与高治疗负担之间的关联.
主要方法:
- 对丹麦成年人16种长期疾病 (N=14,344) 的自我报告数据的潜阶级分析.
- 使用多病症治疗负担问卷评估治疗负担.
- 偏差调整的三步方法分析多病态模式与高治疗负担 (得分≥22) 之间的关联.
主要成果:
- 确定了八种不同的多病态模式,包括"高血压"",精神健康障碍"和"复杂心脏代谢肌肉骨障碍".
- 13%的研究人口经历了高的治疗负担,在各类中存在显著的差异 (0.5%至48%).
- 复杂的多病症组,平均四种疾病,显示出更高的治疗负担,并与非丹麦背景,失业,低社会支持和医疗服务参与困难相关.
结论:
- 特定的多病症模式与高的治疗负担密切相关.
- 调查结果可以为医疗保健规划,资源分配和制定量身定制的干预措施提供信息,以减轻治疗负担.
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