【“高血压和糖尿病筛查与认知”(HYDRA)研究的目的、设计和方法】。

H U Wittchen, P Krause, M Höfler, H Pfister, B Küpper, D Pittrow, P Bramlage, T Unger, A M Sharma, E Ritz, B Göke, H Lehnert, D Tschöpe, W Kirch
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引用次数: 0

摘要

该研究的目的是对初级保健患者中动脉高血压和糖尿病的患病率进行全面的临床流行病学描述,并评估医生的识别率和处方行为。本文描述了研究的方法和设计,并提供了采样过程的背景信息,使用的仪器以及医生和患者的特点。这项研究基于全国代表性的样本,其中包括1912名初级保健医生和4.5万名在目标日期去医生办公室就诊的患者。这些患者还进行了实验室检查。研究的第一阶段包括全面描述医生在心理社会、资质和提供者方面的特点,以及对高血压和糖尿病及其管理的态度。在第二阶段,所有患者完成一份问卷,描述他们的健康行为和态度,以及治疗历史和治疗。在第三阶段,所有患者都由他们的医生根据他们的诊断状态和他们过去和现在的干预来描述。
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[Aim, design and methods of the "Hypertension and diabetes screening and awareness" -- (HYDRA) study].

Aim of the study is a comprehensive clinical-epidemiological description of the prevalence of arterial hypertension and diabetes among primary care patients along with an assessment of doctor's recognition rates and prescription behaviour. The paper describes methods and design of the study and provides background information on the sampling process, instruments used as well as characteristics of doctors and patients. The study is based on a nationally representative sample of 1,912 primary care doctors and 45,000 patients that attended the doctors' office on the target days. The patients were also characterized by laboratory tests. The first stage of study consisted of a comprehensive description of the doctors' characteristics in terms of psychosocial, qualification- and provider aspects as well as attitudes towards hypertension and diabetes and their management. In the second stage all patients completed a questionnaire to describe their health behaviour and attitudes as well as the treatment history and therapy. In the third stage all patients were characterized by their doctors in terms of their diagnostic status and their past and current interventions.

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[Hypertension, diabetes mellitus and comorbidity in primary care]. [Microalbuminuria is an early marker for increased morbidity and mortality]. [Diabetes, hypertension and microalbuminuria in primary care]. [Nephropathy: an overview for daily practice]. ["Hypertension and diabetes screening and awareness" -- (HYDRA) study].
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