Wittchen H U, Krause P, Höfler M, Pfister H, Küpper B, Pittrow D, Bramlage P, Unger T, Sharma A M, Ritz E, Göke B, Lehnert H, Tschöpe D, Kirch W
Institut für Klinische Psychologie und Psychotherapie, TU Dresden, Max-Planck-Institut für Psychiatrie, München.
Fortschr Med Orig. 2003 Feb 27;121 Suppl 1:2-11.
Aim of the study is a comprehensive clinical-epidemiological description of the prevalence of arterial hypertension and diabetes among primary care patients along with an assessment of doctor's recognition rates and prescription behaviour. The paper describes methods and design of the study and provides background information on the sampling process, instruments used as well as characteristics of doctors and patients. The study is based on a nationally representative sample of 1,912 primary care doctors and 45,000 patients that attended the doctors' office on the target days. The patients were also characterized by laboratory tests. The first stage of study consisted of a comprehensive description of the doctors' characteristics in terms of psychosocial, qualification- and provider aspects as well as attitudes towards hypertension and diabetes and their management. In the second stage all patients completed a questionnaire to describe their health behaviour and attitudes as well as the treatment history and therapy. In the third stage all patients were characterized by their doctors in terms of their diagnostic status and their past and current interventions.
该研究的目的是对基层医疗患者中动脉高血压和糖尿病的患病率进行全面的临床流行病学描述，并评估医生的识别率和处方行为。本文描述了该研究的方法和设计，并提供了有关抽样过程、所使用的工具以及医生和患者特征的背景信息。该研究基于一个具有全国代表性的样本，包括1912名基层医疗医生和在目标日期前往医生办公室就诊的45000名患者。这些患者还通过实验室检查进行了特征描述。研究的第一阶段包括从心理社会、资质和提供者方面以及对高血压和糖尿病及其管理的态度等方面对医生的特征进行全面描述。在第二阶段，所有患者都填写了一份问卷，以描述他们的健康行为和态度以及治疗史和治疗情况。在第三阶段，所有患者由医生根据其诊断状况以及过去和当前的干预措施进行特征描述。
