Inger Johanne Bakken, Thomas Nordbø Heyeraas, Øystein Døhl, Siri Rostoft, Inger Ariansen, Lisa Victoria Burrell
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引用次数: 0
Abstract
Background and aims: The Norwegian Registry for Primary Health Care (NRPHC) is a mandatory register for all publicly funded primary healthcare services in Norway, including long-term care (LTC) services. The registry holds information on diagnoses for recipients of LTC services, but little is known regarding data quality and completeness.
Methods: The study population consisted of all LTC recipients in Norway in 2023 (N=393,446). We investigated the proportion registered with any diagnosis in NRPHC LTC data. We compared diagnoses reported by LTC providers with diagnoses reported by general practitioners and by specialist health services. Additionally, we investigated the distribution of diagnoses by type of LTC provided. Diagnoses presumed common among recipients of LTC were investigated (diabetes, cardiovascular diseases, chronic obstructive lung diseases, cancer, mental disorders/substance use disorders, dementia, intellectual disability and hip fracture).
Results: Diagnoses were reported by LTC providers for 51.4% of LTC recipients. Diagnoses were more often reported for users with more complex services (long-term institutional stay: 85.5%; assistive technology: 30.5%). Including data from general practitioners and specialist health services increased prevalence estimates compared with using NRPHC LTC data alone (dementia: 14.2% vs 8.2%; chronic obstructive lung diseases: 12.7% vs. 4.1%). Based on all available data, the prevalence of reported dementia among recipients of long-term institutional stay was 58.7%. The prevalence of reported substance use disorders among recipients of home-based services was 13.4%.
Conclusions: Data on diagnoses reported by LTC providers to the NRPHC are insufficient and should be supplemented with data from other sources.
背景和目的：挪威初级卫生保健登记处（NRPHC）是挪威所有公共资助的初级卫生保健服务（包括长期护理服务）的强制性登记处。注册中心保存LTC服务接受者的诊断信息，但对数据质量和完整性知之甚少。方法：研究人群包括2023年挪威所有LTC接受者（N=393,446）。我们调查了NRPHC LTC数据中任何诊断登记的比例。我们比较了LTC提供者报告的诊断与全科医生和专业卫生服务报告的诊断。此外，我们根据所提供的LTC类型调查了诊断的分布。研究人员调查了LTC接受者中假定常见的诊断（糖尿病、心血管疾病、慢性阻塞性肺病、癌症、精神障碍/物质使用障碍、痴呆、智力残疾和髋部骨折）。结果：51.4%的LTC受者报告了LTC提供者的诊断。接受更复杂服务的用户更常被诊断(长期机构住院：85.5%；辅助技术：30.5%)。与单独使用NRPHC LTC数据相比，包括来自全科医生和专科卫生服务机构的数据增加了患病率估计(痴呆：14.2% vs 8.2%；慢性阻塞性肺疾病：12.7%对4.1%)。根据所有可获得的数据，长期机构住院患者中报告的痴呆患病率为58.7%。在以家庭为基础的服务接受者中，报告的物质使用障碍患病率为13.4%。结论：LTC供应商向NRPHC报告的诊断数据不足，应补充其他来源的数据。
期刊介绍：
The Scandinavian Journal of Public Health is an international peer-reviewed journal which has a vision to: publish public health research of good quality; contribute to the conceptual and methodological development of public health; contribute to global health issues; contribute to news and overviews of public health developments and health policy developments in the Nordic countries; reflect the multidisciplinarity of public health.
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