Nina Reid, Katie Fisher, Anna Ralston, Amanda Tapley, Elizabeth Holliday, Ian Charlton, Katherine Chen, Jason Dizon, Dominica Moad, Alison Fielding, Andrew Davey, Mieke van Driel, Lisa Clarke, Parker Magin
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引用次数: 0
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)是哮喘治疗的一个重要方面,处方不足与哮喘控制不佳和哮喘死亡人数增加有关。本研究旨在记录澳大利亚全科执业注册医师(受训人员)为哮喘相关的儿科患者开具长期哮喘控制药物处方的时间趋势。研究人员对 2010 年至 2022 年注册医师临床培训研究(Registrars Clinical Encounters in Training)的数据进行了纵向分析。计算了开具LTACM的儿科病例比例,分析了时间趋势并绘制了图表。随着时间的推移,注册医师为儿科哮喘开具的LTACM处方没有变化,但开具的LTACM类型出现了时间上的变化。尽管有证据表明LTACMs在预防哮喘发病率和死亡率方面非常重要,但总体LTACMs处方量却没有随时间推移而增加,这对教育、临床和政策都有重要影响。
Temporal trends in the prevalence of GP registrars' long-term paediatric asthma control medications prescription.
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.
期刊介绍:
npj Primary Care Respiratory Medicine is an open access, online-only, multidisciplinary journal dedicated to publishing high-quality research in all areas of the primary care management of respiratory and respiratory-related allergic diseases. Papers published by the journal represent important advances of significance to specialists within the fields of primary care and respiratory medicine. We are particularly interested in receiving papers in relation to the following aspects of respiratory medicine, respiratory-related allergic diseases and tobacco control:
epidemiology
prevention
clinical care
service delivery and organisation of healthcare (including implementation science)
global health.