TY -的T1 -综合照顾哮喘:匹配病人护理JF -欧洲呼吸杂志》乔欧元和J SP - 444 LP - 448 - 10.1183 / 09031936.96.09030444六世- 9 - 3 AU -奥斯曼,LM AU -阿布达拉,MI AU -拉塞尔,非盟- Fiddes, J盟——朋友,晶澳盟——Legge JS AU -道格拉斯,詹Y1 - 1996/03/01 UR - //www.qdcxjkg.com/content/9/3/444.abstract N2 -本研究的目的是调查是否与作业相关标准惯例(GP)之间的哮喘病人保健,综合护理(医生和医院治疗诊所之间共享)或传统的专家审查可以识别,以及结果是否对这些病人不同未来12个月。七百六十四例诊断为哮喘和以前分配给综合护理或临床护理综述了1年后,重新分配。这些患者随访12个月,这段时间收集临床资料。在诊所护理或综合治疗12个月后,分配综合保健是由先前的预测参与综合保健(或2.94)的风险,病人偏好综合保健(或3.7)的风险,没有录取(或1.56)的风险,减少类固醇课程在前一年(或0.88)的风险和不出席审查(或0.43)的风险在之前的12个月。病人出院医生护理是由更高级别的预测在一秒用力呼气量(FEV1)(或1.49)的风险,低数量的GP磋商麻烦哮喘(或0.78)的风险,和不出席审查前一年(或2.15)的风险。在接下来的12个月里,三组患者在住院(出院= 0.008;集成= 0.12;规定诊所= 0.31),支气管扩张剂(出院= 8.5;集成= 10.2;诊所= 13.9),GP磋商(出院= 1.3; Integrated = 3.0; Clinic = 4.1) and oral steroid courses (Discharged = 0.62; Integrated = 1.7; Clinic = 2.4). Patients assigned to integrated care, clinic care or discharged to general practice care form three distinct patient populations differing retrospectively and prospectively in morbidity and admission risk. In particular, patients assigned to integrated care fall midway in risk and morbidity between those discharged or those retained in clinic care. These results suggest that integrated care provides general practitioners with a system of management for asthma patients, for whom they do not wish frequent specialist review but who they do not believe can safely be discharged to general practice care only. ER -