Defining chronic conditions for primary care with ICPC-2
Defining chronic conditions for primary care with ICPC-2
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DOI：
10.1093/fampra/cmh407
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发表时间：
2004-08-01
期刊：
影响因子：
2.2
通讯作者：
Britt, H
中科院分区：
文献类型：
--
作者：
O'Halloran, J;Miller, GC;Britt, H
背景随着慢性病患病率的增加，需要一个标准化的慢性病定义用于研究，以评估慢性病的人群患病率和全科医学管理。我们的目的是确定定义慢性所需的特征，将其应用于初级保健分类，并提供一个定义的慢性疾病代码集。文献综述评价了用于定义慢性疾病的特征。通过ICPC-2 PLUS（ICPC-2的扩展术语）中提供的更具体的术语，将最终特征集应用于国际初级保健分类-第2版（ICPC-2）。一组ICPC-2的标题被描绘为代表慢性疾病。与慢性病定义相关的因素包括：病程、预后、模式和后遗症。在ICPC-2中，129个标题被描述为“慢性”，另外20个标题具有慢性要素。持续时间是最常满足的标准（98.4%的慢性评分），而88.2%的评分至少满足四个标准中的三个。监测慢性病的流行和管理越来越重要。这项研究为慢性病的多方面定义提供了证据。虽然对慢性病感兴趣的人可以使用所检查的所有特征，但该清单旨在确定澳大利亚全科医学中管理的慢性病，因此不是所有慢性病的命名法。随后使用预先存在的数据集对慢性病进行分析，将提供一般实践中慢性病患病率和管理的基线测量。
Background. With the increasing prevalence of chronic conditions, there is need for a standardized definition of chronicity for use in research, to evaluate the population prevalence and general practice management of chronic conditions.Objectives. Our aims were to determine the characteristics required to define chronicity, apply them to a primary care classification and provide a defined codeset of chronic conditions.Methods. A literature review evaluated characteristics used to define chronic conditions. The final set of characteristics was applied to the International Classification of Primary Care-Version 2 (ICPC-2) through more specific terms available in ICPC-2 PLUS, an extended terminology classified to ICPC-2. A set of ICPC-2 rubrics was delineated as representing chronic conditions.Results. Factors found to be relevant to a definition of chronic conditions for research were: duration; prognosis; pattern; and sequelae. Within ICPC-2, 129 rubrics were described as 'chronic', and another 20 rubrics had elements of chronicity. Duration was the criterion most frequently satisfied (98.4% of chronic rubrics), while 88.2% of rubrics met at least three of the four criteria.Conclusion. Monitoring the prevalence and management of chronic conditions is of increasing importance. This study provided evidence for multifaceted definitions of chronicity. While all characteristics examined could be used by those interested in chronicity, the list has been designed to identify chronic conditions managed in Australian general practice, and is therefore not a nomenclature of all chronic conditions. Subsequent analysis of chronic conditions using pre-existing data sets will provide a baseline measure of chronic condition prevalence and management in general practice.