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开发一种用于记录初级保健中自我报告慢性病情况的研究工具。

Development of a research tool to document self-reported chronic conditions in primary care.

作者信息

Fortin Martin, Almirall José, Nicholson Kathryn

机构信息

Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, and Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-St-Jean, Quebec, Canada.

Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Centre for Studies in Family Medicine, Western University, Ontario, Canada.

出版信息

J Comorb. 2017 Nov 9;7(1):117-123. doi: 10.15256/joc.2017.7.122. eCollection 2017.

Abstract

BACKGROUND

Researchers interested in multimorbidity often find themselves in the dilemma of identifying or creating an operational definition in order to generate data. Our team was invited to propose a tool for documenting the presence of chronic conditions in participants recruited for different research studies.

OBJECTIVE

To describe the development of such a tool.

DESIGN

A scoping review in which we identified relevant studies, selected studies, charted the data, and collated and summarized the results. The criteria considered for selecting chronic conditions were: (1) their relevance to primary care services; (2) the impact on affected patients; (3) their prevalence among the primary care users; and (4) how often the conditions were present among the lists retrieved from the scoping review.

RESULTS

Taking into account the predefined criteria, we developed a list of 20 chronic conditions/categories of conditions that could be self-reported. A questionnaire was built using simple instructions and a table including the list of chronic conditions/categories of conditions.

CONCLUSIONS

We developed a questionnaire to document 20 self-reported chronic conditions/categories of conditions intended to be used for research purposes in primary care. Guided by previous literature, the purpose of this questionnaire is to evaluate the self-reported burden of multimorbidity by participants and to encourage comparability among research studies using the same measurement.

摘要

背景

对共病感兴趣的研究人员常常发现自己处于这样的两难境地:为了生成数据而确定或创建一个操作性定义。我们的团队受邀为记录参与不同研究的受试者的慢性病情况提出一种工具。

目的

描述这样一种工具的开发过程。

设计

一项范围综述,我们在其中确定相关研究、选择研究、绘制数据图表,并整理和总结结果。选择慢性病时考虑的标准有:(1)它们与初级保健服务的相关性;(2)对受影响患者的影响;(3)它们在初级保健使用者中的患病率;以及(4)在范围综述检索出的列表中这些疾病出现的频率。

结果

考虑到预先确定的标准,我们制定了一份包含20种可自我报告的慢性病/疾病类别的清单。使用简单说明和一个包含慢性病/疾病类别清单的表格构建了一份问卷。

结论

我们开发了一份问卷,用于记录20种自我报告的慢性病/疾病类别,旨在用于初级保健研究。在前人文献的指导下,这份问卷的目的是评估受试者自我报告的共病负担,并促进使用相同测量方法的研究之间的可比性。

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