...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Family Practice >Shifting hospital care to primary care: An evaluation of cardiology care in a primary care setting in the Netherlands
【24h】

Shifting hospital care to primary care: An evaluation of cardiology care in a primary care setting in the Netherlands

机译：将医院护理转向初级保健：荷兰初级保健机构中的心脏病护理评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In an attempt to deal with the pressures on the healthcare system and to guarantee sustainability, changes are needed. This study is focused on a cardiology Primary Care Plus intervention in which cardiologists provide consultations with patients in a primary care setting in order to prevent unnecessary referrals to the hospital. This study explores which patients with non-acute and low-complexity cardiology-related health complaints should be excluded from Primary Care Plus and referred directly to specialist care in the hospital. This is a retrospective observational study based on quantitative data. Data collected between January 1 and December 31, 2015 were extracted from the electronic medical record system. Logistic regression analyses were used to select patient groups that should be excluded from referral to Primary Care Plus. In total, 1525 patients were included in the analyses. Results showed that male patients, older patients, those with the referral indication ‘Stable Angina Pectoris’ or ‘Dyspnoea’ and patients whose reason for referral was ‘To confirm disease’ or ‘Screening of unclear pathology’ had a significantly higher probability of being referred to hospital care after Primary Care Plus. To achieve efficiency one should exclude patient groups with a significantly higher probability of being referred to hospital care after Primary Care Plus. NTR6629 (Data registered: 25–08-2017) (registered retrospectively).
机译：为了应对医疗保健系统的压力并保证可持续性，需要做出改变。这项研究的重点是心脏病学初级保健加干预，心脏病专家会在初级保健环境中与患者进行咨询，以防止不必要的转诊到医院。这项研究探讨了哪些非急性和低复杂度心脏病相关健康问题的患者应排除在“初级保健加”之外，并直接转诊至医院的专科治疗。这是基于定量数据的回顾性观察性研究。从电子病历系统中提取了2015年1月1日至2015年12月31日之间收集的数据。使用逻辑回归分析选择应转诊至Primary Care Plus的患者组。分析总共包括1525例患者。结果显示，男性患者，老年患者，转诊指征为“稳定型心绞痛”或“呼吸困难”的患者以及转诊原因为“确认疾病”或“筛查不清楚的病理学”的患者转诊的可能性明显更高在“初级保健加”后到医院护理。为了提高效率，应排除在“初级保健加”后被转诊到医院的可能性更高的患者群体。 NTR6629（数据注册：25-08-2017）（追溯注册）。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号