Nina Reid, Katie Fisher, Anna Ralston, Amanda Tapley, Elizabeth G Holliday, Ben Mitchell, Ian Charlton, Katherine Chen, Jason Dizon, Dominica Moad, Alison Fielding, Andrew Davey, Mieke van Driel, Lisa Clarke, Geoffrey Spurling, Parker Magin
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引用次数: 0
Abstract
Objective: To investigate the frequency and temporal trends in Australian early-career general practitioners (registrars) accessing point-of-care resources (POCR) when managing paediatric asthma.
Design: A longitudinal analysis (2010-2019) nested within the Registrar Clinical Encounters in Training project of registrars' in-consultation practice. The outcome factor in univariable and multivariable mixed effects logistic regression analyses was whether POCR was accessed for paediatric asthma problems, with year as the independent variable of interest. Further analyses compared trends (2010-2019) in asthma problem POCR use with non-asthma problem POCR use.
Setting: Australian community training general practices.
Participants: 2834 Australian general practice registrars (trainees) (participation rate 92.2%).
Result: POCR use was greater for asthma (15%) than for non-asthma problems (12.6%). The temporal increase in POCR use for paediatric asthma (OR for POCR use 1.15 per year (95% CI 1.07 to 1.24)) was greater than that for non-asthma problems (OR of 1.11 per year (95% CI 1.09 to 1.14)). This difference in rates of increase in POCR of paediatric asthma and non-asthma problems was not statistically significant.
Conclusion: There are multiple possible reasons for the increasing use of POCR in paediatric asthma. This trend may reflect increasing focus on evidence-based asthma care and increasing access to high-quality asthma management online POCR available within Australia. Alternatively, paediatric asthma could represent an area of increasing clinical challenge and possible educational need for early-career general practitioners. Further research exploring the underlying reasons for the increasing POCR use in paediatric asthma is warranted.
目的：调查澳大利亚早期职业全科医生（注册者）在处理儿童哮喘时使用护理点资源（POCR）的频率和时间趋势。设计：纵向分析（2010-2019），嵌套在注册商临床培训遇到的注册商在咨询实践项目中。单变量和多变量混合效应logistic回归分析的结局因素是儿科哮喘问题是否使用POCR，以年份为感兴趣的自变量。进一步分析比较了2010-2019年哮喘问题POCR与非哮喘问题POCR的使用趋势。背景：澳大利亚社区培训全科医生。参与者：2834名澳大利亚全科注册医师（学员）（参与率92.2%）。结果：哮喘患者使用POCR的比例（15%）高于非哮喘患者（12.6%）。儿童哮喘使用POCR的时间增加（每年使用POCR的OR为1.15 (95% CI 1.07至1.24)）大于非哮喘问题（OR为每年1.11 (95% CI 1.09至1.14)）。小儿哮喘和非哮喘问题的POCR增加率的差异无统计学意义。结论：POCR在儿童哮喘中的应用增加可能有多种原因。这一趋势可能反映了对循证哮喘护理的日益关注，以及澳大利亚国内越来越多地获得高质量的哮喘管理在线POCR。另外，儿科哮喘可能代表一个日益增加的临床挑战和早期职业全科医生可能的教育需求的领域。进一步的研究探索POCR在儿童哮喘中使用增加的潜在原因是有必要的。
期刊介绍：
Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.
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