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全科医生住院医师长期儿童哮喘控制药物处方的流行趋势。

Temporal trends in the prevalence of GP registrars' long-term paediatric asthma control medications prescription.

机构信息

School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.

General Practice Training Research Department, Royal Australian College of General Practitioners, Mayfield West, NSW, 2308, Australia.

出版信息

NPJ Prim Care Respir Med. 2024 Oct 22;34(1):30. doi: 10.1038/s41533-024-00395-6.

Abstract

Asthma is one of the most common chronic illnesses affecting children. Long-term asthma control medications (LTACMs) are an important aspect of asthma management, with under-prescription associated with poor asthma control and increased asthma deaths. This study aimed to document temporal trends in the prescribing of LTACMs for paediatric patients for asthma-related presentations to Australian general practice registrars (trainees). Longitudinal analyses of data from 2010 to 2022 from the Registrars Clinical Encounters in Training study were undertaken. Proportions of paediatric presentations where LTACMs were prescribed were calculated, and temporal trends analysed and graphed. There was no change over time in registrar prescribing of LTACMs for paediatric asthma, although temporal changes were seen in the types of LTACMs prescribed. The lack of temporal increase in overall LTACMs prescription, despite evidence showing their importance in preventing asthma morbidity and mortality, has significant educational, clinical, and policy implications.

摘要

哮喘是影响儿童的最常见慢性疾病之一。长期哮喘控制药物(LTACMs)是哮喘管理的一个重要方面,处方不足与哮喘控制不良和哮喘死亡增加有关。本研究旨在记录澳大利亚全科医生(受训者)对哮喘相关就诊的儿科患者开具 LTACMs 的情况的时间趋势。对 2010 年至 2022 年来自 Registrars Clinical Encounters in Training 研究的数据进行了纵向分析。计算了 LTACMs 开具处方的儿科就诊比例,并对时间趋势进行了分析和绘制。尽管 LTACMs 处方的类型发生了变化,但注册医师开具 LTACMs 治疗儿科哮喘的时间没有变化。尽管有证据表明 LTACMs 对预防哮喘发病率和死亡率很重要,但总体 LTACMs 处方的时间没有增加,这具有重大的教育、临床和政策意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2af2/11496493/bf810b041222/41533_2024_395_Fig1_HTML.jpg

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