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性别差异在西班牙家庭医学中低价值实践导致的不良事件:一项回顾性队列研究。

Gender Disparities in Adverse Events Resulting From Low-Value Practices in Family Practice in Spain: A Retrospective Cohort Study.

机构信息

Alicante-Sant Joan Health District, Alicante, Spain.

ATENEA Research, Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), San Juan de Alicante, Spain.

出版信息

Int J Public Health. 2024 Jul 16;69:1607030. doi: 10.3389/ijph.2024.1607030. eCollection 2024.

Abstract

This study aimed to evaluate gender-based disparities in preventable adverse events due to low-value practices (LVPs) in primary care. A retrospective cohort study in Alicante, Spain. A total of 1,516 patient records were examined, finding that older individuals and women experienced more LVP-related events. Female patients faced a higher volume of such events than males with the same health issue. Interaction analysis revealed patients treated by male physicians had more severe events, while those attended by females experienced milder ones. Adverse events were more frequent in LVPs associated with gender-based reasons. These results highlight the need for tailored healthcare professional awareness programs on overuse's impact on safety. Addressing outcome differences between male and female patients should inform awareness campaigns.

摘要

本研究旨在评估初级保健中因低价值实践(LVPs)而导致可预防不良事件的性别差异。 这是一项在西班牙阿利坎特进行的回顾性队列研究。 共检查了 1516 份患者记录,发现年龄较大的个体和女性经历了更多与 LVP 相关的事件。 患有相同健康问题的女性患者比男性患者经历更多的此类事件。 交互分析显示,由男性医生治疗的患者发生更严重的事件,而由女性医生治疗的患者则经历更轻微的事件。 与基于性别的原因相关的 LVPs 中更频繁地发生不良事件。 这些结果强调了需要针对过度医疗对安全性的影响制定专门的医疗保健专业人员意识计划。 解决男性和女性患者之间的结果差异应该为宣传活动提供信息。

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