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格陵兰岛使用抗高血压药物的患者患病率,以及对诊断对相关护理质量重要性的评估-一项横断面研究。

Prevalence of patients using antihypertensive medication in Greenland, and an assessment of the importance of diagnosis for the associated quality of care - a cross-sectional study.

机构信息

Steno Diabetes Centre Greenland, Queen Ingrid's Hospital, Nuuk, Greenland.

Greenland Centre for Health Research, Institute of Health and Nature, University of Greenland, Nuuk, Greenland.

出版信息

Int J Circumpolar Health. 2022 Dec;81(1):2110675. doi: 10.1080/22423982.2022.2110675.

Abstract

This study aimed to estimate the age- and sex specific prevalence of patients using antihypertensive medication in Greenland, and compared the quality of care between patients with and without a diagnosis for hypertension. The study was a cross-sectional study comparing patients using antihypertensive medication in 2020 (6,629 patients) and 2021 (7,008 patients), respectively. For data from 2021, patients with a medical diagnosis code were identified. Data was obtained from the Greenlandic electronic medical record. The population of Greenland was used as background population. Quality of care was evaluated based on suggested indicators by international guidelines and goals from Steno Diabetes Centre Greenland. The prevalence of patients aged ≥20 years using antihypertensive medication had increased from 16.7% in 2020 to 17.5% in 2021. The prevalence increased by age and was higher among women compared to men. In 2021, the prevalence of patients aged ≥20 years with a medical diagnosis code for hypertension was 7.9%. The use of antihypertensive medication in Greenland is common. The associated quality of care was low. However, process indicators were significantly improved when patients had a medical diagnosis code. Future focus must be on initiating initiatives ensuring that more patients are registered with a medical diagnosis code.

摘要

这项研究旨在估计格陵兰使用抗高血压药物的患者的年龄和性别特异性患病率,并比较有和没有高血压诊断的患者之间的护理质量。该研究是一项横断面研究,比较了 2020 年(6629 名患者)和 2021 年(7008 名患者)分别使用抗高血压药物的患者。对于 2021 年的数据,确定了有医疗诊断代码的患者。数据来自格陵兰电子病历。格陵兰的人口被用作背景人口。护理质量根据国际指南的建议指标和 Steno Diabetes Centre Greenland 的目标进行评估。年龄≥20 岁使用抗高血压药物的患者患病率从 2020 年的 16.7%增加到 2021 年的 17.5%。患病率随年龄增长而增加,女性高于男性。2021 年,年龄≥20 岁有高血压医疗诊断代码的患者的患病率为 7.9%。在格陵兰使用抗高血压药物很常见。相关的护理质量较低。然而,当患者有医疗诊断代码时,过程指标显著改善。未来必须重点关注启动确保更多患者有医疗诊断代码登记的举措。

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