Ribe Anette Riisgaard, Fenger-Grøn Morten, Vedsted Peter, Bro Flemming, Kærsvang Lone, Vestergaard Mogens
Research Unit for General Practice, Department of Public Health, Faculty of Health, Aarhus University, Denmark. Bartholins Allé 2, 8000 Aarhus C.
Dan Med J. 2014 Sep;61(9):A4901.
Disease management programmes (DMPs) require a high degree of participation from general practitioners (GPs) in order to succeed. We aimed to describe the participation among Danish GPs in a DMP.
A quality improvement project entitled the Chronic Care Compass (CCC) was introduced in 2010 by the Central Denmark Region. The project was based on DMPs targeting persons suffering from three chronic diseases (diabetes, chronic obstructive pulmonary disease and acute coronary syndrome). All GPs in the region were invited to participate. We obtained data from administrative registries and studied the participation and its association with characteristics of practices and patients. Differences in participation were assessed using binomial regression models.
A total of 271 (69.1%) practices participated in the CCC. The participation was 28.9 percentage points (pp) (confidence interval (CI): 14.3; 43.6) lower among GPs who were older than 60 years versus younger than 50 years, 32.2 pp (CI: 19.1; 45.2) lower among GPs who provided few versus many chronic care consultations, 13.7 pp (CI: 1.7; 25.6) lower among GPs with lower versus medium practice gross income, and 16.9 pp (CI:6.1; 27.8) lower among GPs with a patient population with medium versus low degree of socio-economic deprivation.
Participation in the CCC was lower among GPs who provided less chronic care, had a lower practice gross income and had a patient population with a higher degree of deprivation.
The project was supported by the Research Unit for General Practice, Aarhus University, and the Lundbeck Foundation.
not relevant.
疾病管理项目（DMPs）要取得成功，需要全科医生（GPs）高度参与。我们旨在描述丹麦全科医生对一个疾病管理项目的参与情况。
2010年，丹麦中部地区引入了一个名为“慢性护理指南针（CCC）”的质量改进项目。该项目基于针对患有三种慢性病（糖尿病、慢性阻塞性肺疾病和急性冠状动脉综合征）患者的疾病管理项目。邀请了该地区所有的全科医生参与。我们从行政登记处获取数据，研究参与情况及其与诊所和患者特征的关联。使用二项式回归模型评估参与情况的差异。
共有271家（69.1%）诊所参与了CCC项目。60岁以上的全科医生比50岁以下的全科医生参与率低28.9个百分点（pp）（置信区间（CI）：14.3；43.6），提供较少慢性护理咨询的全科医生比提供较多慢性护理咨询的全科医生参与率低32.2个百分点（CI：19.1；45.2），诊所总收入较低的全科医生比中等收入的全科医生参与率低13.7个百分点（CI：1.7；25.6），患者社会经济剥夺程度中等的全科医生比剥夺程度低的全科医生参与率低16.9个百分点（CI：6.1；27.8）。
提供较少慢性护理、诊所总收入较低且患者社会经济剥夺程度较高的全科医生参与CCC项目的比例较低。
该项目由奥胡斯大学全科医学研究单位和伦贝克基金会支持。
不相关。
