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社区脆弱性:通过电子健康记录指标衡量新冠疫情后人群的健康状况

Community Vulnerability: Measuring the Health Situation of a Population After COVID-19 Through Electronic Health Record Indicators.

作者信息

Sierra-Ortega Andrea, González-Aguña Alexandra, Fernández-Batalla Marta, Monsalvo-San Macario Enrique, Gonzalo de Diego Blanca, Jiménez-Rodríguez Lourdes, Santamaría-García José María

机构信息

Meco Health Centre, Community of Madrid Health Service (SERMAS), 28880 Madrid, Spain.

Research Group MISKC, Department of Computer Science, University of Alcala, 28805 Madrid, Spain.

出版信息

Healthcare (Basel). 2025 Jan 2;13(1):68. doi: 10.3390/healthcare13010068.

Abstract

The COVID-19 pandemic made people face the fact that we are all vulnerable. This vulnerability can be measured through the Basic Variables of Care (BVC) using the Care Vulnerability Index (CVI). Health systems work with indicators that nurses can consult to understand the care and health situation of their population. These indicators provide valuable information on the vulnerability of the population. to determine the level of community vulnerability of a population group using health indicators from the computerized clinical records of Primary Care. observational, retrospective study from March 2023 to January 2024, with a sample of 2106 people assigned to a nurse at the Meco Health Centre (Madrid, Spain). Phases: selection of dashboard indicators, linkage to BVC, score assignment, population adjustment and calculation of the CVI. The sample of indicators selects 18 out of 376 included in the Specific Dashboard; each indicator is related to 6 to 10 BCVs, with different rank values. Each score is adjusted by a Vulnerability Correction Factor according to the number of people included in the indicator. Finally, the population-adjusted CVI scores 1.95 points (percentile 37.90). community vulnerability is an essential tool in community health diagnostics and can be measured through health indicators that reflect the care situation of a population group at a given time, including changes in the situation in the face of health crises such as the COVID-19 pandemic.

摘要

新冠疫情让人们直面一个事实

我们都很脆弱。这种脆弱性可以通过护理基本变量(BVC)利用护理脆弱性指数(CVI)来衡量。卫生系统运用一些指标,护士可以参考这些指标来了解其服务人群的护理和健康状况。这些指标提供了有关人群脆弱性的宝贵信息。利用初级保健计算机化临床记录中的健康指标来确定人群组的社区脆弱性水平。这是一项2023年3月至2024年1月的观察性回顾性研究,样本为2106人,他们被分配给西班牙马德里梅科健康中心的一名护士。阶段包括:选择仪表盘指标、与BVC关联、分数分配、人群调整以及CVI计算。指标样本从特定仪表盘包含的376个指标中选取了18个;每个指标与6至10个BVC相关,具有不同的等级值。每个分数根据指标中包含的人数通过脆弱性校正因子进行调整。最后,经人群调整后的CVI得分为1.95分(百分位数为37.90)。社区脆弱性是社区健康诊断中的一项重要工具,可通过反映特定时间人群组护理状况的健康指标来衡量,包括面对新冠疫情等健康危机时状况的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e45/11719725/d19ec74a3599/healthcare-13-00068-g001.jpg

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