医疗服务提供者与患者在心血管风险管理中的社交网络：一项研究方案。

Social networks of health care providers and patients in cardiovascular risk management: a study protocol.

作者信息

Heijmans Naomi, van Lieshout Jan, Wensing Michel

机构信息

Radboud University Medical Centre, Nijmegen, The Netherlands.

出版信息

BMC Health Serv Res. 2014 Jun 18;14:265. doi: 10.1186/1472-6963-14-265.

DOI:10.1186/1472-6963-14-265

PMID:24942555

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4071149/

Abstract

BACKGROUND

In recent years, preventive and clinical interventions for cardiovascular risk management have been implemented widely in primary care in the Netherlands. Although this has enhanced quality and outcomes of cardiovascular risk management, further improvement remains possible. In the planned observational study, we aim to examine the role of social networks of healthcare providers and patients in quality and outcomes of cardiovascular risk management.

METHODS/DESIGN: In a longitudinal observational study, data on social networks of approximately 300 primary care providers from 30 general practices and 900 cardiovascular patients will be collected twice, with a six month interval, using a mix of measures. Social networks are documented with specifically designed questionnaires for patients, relatives, and healthcare professionals. For each included patient, we will extract from medical records to gather data on clinical processes and cardiovascular risk predictors. Data on self-management and psychosocial outcomes of patients will be collected using questionnaires for patients. The analysis focuses on identifying network characteristics, which are associated with (changes in) cardiovascular risk management or self-management.

DISCUSSION

This research will provide insight into the role of social networks of patients and providers in cardiovascular risk management in primary practice.

TRIAL REGISTRATION

Nederlands Trial Register NTR4069.

摘要

背景

近年来，荷兰初级保健机构广泛实施了心血管风险管理的预防和临床干预措施。尽管这提高了心血管风险管理的质量和效果，但仍有进一步改进的空间。在这项计划中的观察性研究中，我们旨在探讨医疗服务提供者和患者的社交网络在心血管风险管理的质量和效果方面所起的作用。

方法/设计：在一项纵向观察性研究中，将采用多种测量方法，对来自30家普通诊所的约300名初级保健提供者和900名心血管疾病患者的社交网络数据进行为期六个月的两次收集。通过专门为患者、亲属和医疗专业人员设计的问卷来记录社交网络。对于每一位纳入研究的患者，我们将从病历中提取数据，以收集有关临床过程和心血管风险预测因素的信息。患者的自我管理和心理社会结果数据将通过患者问卷进行收集。分析重点在于确定与心血管风险管理或自我管理（变化）相关的网络特征。