Screening for appropriate techniques of cardiovascular disease prevention in primary care based on patient-centered model
10.3760/cma.j.cn114798-20201220-01270
- VernacularTitle:基于以患者为中心诊疗模式的心血管疾病基层防治管理适宜技术筛选研究
- Author:
Xuejun LIU
1
;
Shuang WANG
;
Zijian FANG
;
Lei SUN
;
Wenfeng ZHANG
Author Information
1. 中国医科大学附属第一医院全科医学科，沈阳 110001
- Keywords:
Cardiovascular diseases;
Appropriate health technology;
Prevention and treatment
- From:
Chinese Journal of General Practitioners
2021;20(8):830-837
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To screen appropriate techniques of cardiovascular diseases (CVD) prevention in primary care based on patient-centered model.Methods:The preliminary list of techniques used for CVD prevention in primary care was formed through literature study and focus group discussion. The evaluation index system of technical suitability was constructed by literature research and expert judgment. Delphi method was used to screen and evaluate the list of appropriate techniques.Results:Thirteen experts in fields of general practice and cardiovascular medicine were invited for consultation. The formed index system of appropriate techniques in primary care composed of five aspects: scientificity, effectiveness, applicability, economy and requirement, with the weight coefficients of 0.205, 0.202, 0.205, 0.196 and 0.192, respectively. Twenty-four experts in fields of general medicine, cardiovascular medicine, public health and mental health were selected for two rounds of Delphi expert consultation. The experts′ positive coefficients of the first round and second consultation were 91.67%(22/24) and 100.00%(22/22), respectively. The experts′ authoritative coefficient of two rounds was both 0.92 with the coefficient of variation all<0.3. A list of techniques was developed consisting of 25 appropriate techniques of CVD prevention in primary care. The comprehensive evaluation showed that the top three were techniques of history collection and physical examination, techniques of recognition and referral of acute patients and techniques of patient reception in general practice.Conclusion:Based on the patient-centered model, after screening and evaluation this study has developed a list of appropriate techniques for CVD prevention and management at primary care, which provides technical support to general practitioners and their teams for better care of cardiovascular diseases in their practice.
