Bohlken Jens, Kostev Karel
BVDN, Praxis Bohlken, Berlin.
Epidemiologie, IMS Health, Frankfurt am Main.
Fortschr Neurol Psychiatr. 2017 Mar;85(3):156-162. doi: 10.1055/s-0043-101233. Epub 2017 Mar 20.
The goal of this study is to investigate the impact of the number of dementia cases in general and specialist practices on the continuity of treatment with antidementia drugs. Period between 2004 and 2013: 1116 general practices, 200 specialist practices, 37 178 dementia cases; observation period: 36 months. Practice groups with 1 - 9, 10 - 20, 21-s49, and ≥ 50 dementia cases. The treatment continuity is higher in practices with an average of 150 dementia cases than in practices with five dementia cases (73.6 % vs. 42.1 %). In addition to the number of cases, treatment continuity is also affected by the specialization, but not by the practice size. Practices with more than 50 patients treated with antidementia drugs exhibit greater treatment continuity. Treatment continuity is increased if specialists are involved in the treatment.
本研究的目的是调查普通诊所和专科诊所中痴呆症病例数量对痴呆症药物治疗连续性的影响。2004年至2013年期间:1116家普通诊所、200家专科诊所、37178例痴呆症病例;观察期:36个月。将诊所分为有1 - 9例、10 - 20例、21 - 49例和≥50例痴呆症病例的组。平均有150例痴呆症病例的诊所的治疗连续性高于平均有5例痴呆症病例的诊所(73.6%对42.1%)。除病例数量外,治疗连续性还受专科化影响,但不受诊所规模影响。使用痴呆症药物治疗的患者超过50例的诊所表现出更高的治疗连续性。如果有专科医生参与治疗,治疗连续性会提高。