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首页> 外文期刊>Asthma research and practice. >Epidemiology and utilization of primary health care services in Qatar by asthmatic children 5–12?years old: secondary data analysis 2016–2017
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Epidemiology and utilization of primary health care services in Qatar by asthmatic children 5–12?years old: secondary data analysis 2016–2017

机译：哮喘儿童哮喘儿童急检服务的流行病学和利用初级卫生保健服务5-12？岁以下：二次数据分析2016-2017

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Childhood asthma is a growing clinical problem and a burden on the health care system due to repetitive visits to children's emergency departments and frequent hospital admissions where it is poorly controlled. Due to lack of reliable baseline information on its prevalence among children in Qatar and the extent of their utilization of primary health care services, we sought to analyse electronic medical records data for children aged 5-12?years. Our primary objective was to establish point prevalence over the period 2016-2017. Furthermore, we wanted to assess the frequency and pattern of use of the primary care services including any demographic and seasonal variations, the types of clinical encounter and treatment received. A cross sectional study on 54,704 clinical encounters of electronic health records for children aged 5 to 12?years in which a diagnosis of Asthma was tagged during a two years period. The prevalence rate of Asthma out of total registered clients in the specified pediatric age group (196,557) is 6.1%. The rate was highest (10.2%) in youngest age group (5-6?years old) and lowest (4.1%) in teenagers (10-12?years old). An obvious peak of clinical encounters of Asthma cases was observed in Oct and Nov. The work load in PHCC clinics for Asthma clinical encounters is increased by more than 50% compared to the average monthly count of 4556.Moreover, the rate was higher in males (7.6%) compared to females (4.6%). The most frequently prescribed medication group was antihistamine (57.8%) followed by adrenergic bronchodilators (33.9%). Asthma constitutes an important part (8.5%) of the total primary care clinic work load among children aged 5-12?years in Qatar. A guideline need to encourage physician to use preventive Asthma strategies including steroid medications to provide continuity of care for Asthma cases.
机译：由于对儿童的急诊部门和频繁的医院入学，因此童年哮喘是一种日益增长的临床问题，以及卫生保健系统的负担。由于缺乏关于卡塔尔儿童普遍存在的可靠基线信息以及它们利用初级保健服务的程度，我们寻求分析5-12岁的儿童的电子医疗记录数据。我们的主要目标是在2016 - 2017年期间建立点普遍性。此外，我们希望评估初级保健服务的频率和使用模式，包括任何人口统计和季节性变化，临床遭遇和治疗的类型。 5至12岁儿童电子健康记录54,704临床遇到的横截面研究，其中在两年内标记了哮喘诊断的血症。特定儿科年龄组（196,557）中的注册客户总量哮喘的患病率为6.1％。最年轻的年龄组（5-6岁）和青少年最低（4.1％）的速率最高（10.2％）（10-12岁）。在10月和11月观察到哮喘病例临床遇到的明显高峰。与4556的平均月度计数相比，哮喘临床遇到的PHCC临床诊所的工作负荷增加了50％以上。 （7.6％）与女性相比（4.6％）。最常规定的药物组是抗组胺药（57.8％），然后是肾上腺素能支气管扩张剂（33.9％）。哮喘构成了在卡塔尔5-12岁的儿童中初级保健诊所工作负荷的重要组成部分（8.5％）。准则需要鼓励医生使用预防性哮喘策略，包括类固醇药物，为哮喘病例提供护理的连续性。

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