PDF(Pubmed)
Abstract：
UNASSIGNED: Continuity of care is one of the main principles of family medicine, described as a relationship with a single provider that extends beyond a single illness episode. This retrospective study, conducted at King Saud University Family Medicine Center in Riyadh, Saudi Arabia, aimed to investigate the impact of having a regular primary care provider on clinical outcomes and preventive service delivery for patients with diabetes and/or hypertension.
UNASSIGNED: The study, spanning 2017 to 2019, included 400 patients diagnosed with diabetes and/or hypertension for at least six months before the 6-month pre-attachment period to regular family medicine physicians in 2018. Data before and after attachment for at least six months were compared using electronic health records.
UNASSIGNED: The mean age of the patients was 60.9, with a predominant female representation (66.8%) and 90.7% Saudis. Results indicated a significant improvement in glycated hemoglobin (HbA1c) levels (p = 0.005) and systolic blood pressure (p = 0.014) post-attachment. Preventive service delivery saw notable enhancements, with increased colon cancer screening (p = 0.03), breast cancer screening (p < 0.001), and retinal screening (p < 0.001) post-attachment.
UNASSIGNED: This study\'s findings underscore the importance of continuity of care in chronic disease management and provide valuable and promising insights into the Saudi healthcare context, aligning with the Saudi Ministry of Health\'s vision for universal access to regular primary care providers.
UNASSIGNED: The study, spanning 2017 to 2019, included 400 patients diagnosed with diabetes and/or hypertension for at least six months before the 6-month pre-attachment period to regular family medicine physicians in 2018. Data before and after attachment for at least six months were compared using electronic health records.
UNASSIGNED: The mean age of the patients was 60.9, with a predominant female representation (66.8%) and 90.7% Saudis. Results indicated a significant improvement in glycated hemoglobin (HbA1c) levels (p = 0.005) and systolic blood pressure (p = 0.014) post-attachment. Preventive service delivery saw notable enhancements, with increased colon cancer screening (p = 0.03), breast cancer screening (p < 0.001), and retinal screening (p < 0.001) post-attachment.
UNASSIGNED: This study\'s findings underscore the importance of continuity of care in chronic disease management and provide valuable and promising insights into the Saudi healthcare context, aligning with the Saudi Ministry of Health\'s vision for universal access to regular primary care providers.
摘要：
■护理连续性是家庭医学的主要原则之一，描述为与单一提供者的关系，超出了单一疾病发作。这项回顾性研究,在利雅得国王沙特大学家庭医学中心进行，沙特阿拉伯,旨在调查糖尿病和/或高血压患者的临床结局和预防性服务提供的影响。
■这项研究，在2017年至2019年期间,包括在2018年接受正规家庭医学医师治疗前6个月前至少6个月被诊断患有糖尿病和/或高血压的400例患者.使用电子健康记录比较附件前后至少六个月的数据。
■患者的平均年龄为60.9岁，其中女性占主导地位（66.8％），沙特占90.7％。结果表明，附着后糖化血红蛋白（HbA1c）水平（p=0.005）和收缩压（p=0.014）显着改善。预防性服务交付显著增强，随着结肠癌筛查的增加（p=0.03），乳腺癌筛查（p<0.001），和视网膜筛查（p<0.001）后附着。
■这项研究的发现强调了慢性病管理中护理连续性的重要性，并为沙特医疗保健环境提供了有价值和有希望的见解。与沙特卫生部关于普遍获得正规初级保健提供者的愿景保持一致。
■这项研究，在2017年至2019年期间,包括在2018年接受正规家庭医学医师治疗前6个月前至少6个月被诊断患有糖尿病和/或高血压的400例患者.使用电子健康记录比较附件前后至少六个月的数据。
■患者的平均年龄为60.9岁，其中女性占主导地位（66.8％），沙特占90.7％。结果表明，附着后糖化血红蛋白（HbA1c）水平（p=0.005）和收缩压（p=0.014）显着改善。预防性服务交付显著增强，随着结肠癌筛查的增加（p=0.03），乳腺癌筛查（p<0.001），和视网膜筛查（p<0.001）后附着。
■这项研究的发现强调了慢性病管理中护理连续性的重要性，并为沙特医疗保健环境提供了有价值和有希望的见解。与沙特卫生部关于普遍获得正规初级保健提供者的愿景保持一致。
