Population monitoring of coronary heart disease in the modern era

现代冠心病的人群监测

• 批准号: nhmrc : 353671
• 负责人: A/Pr Peter Sprivulis
• 金额: $ 42.43万
• 依托单位: The University of Western Australia
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2005
• 资助国家: 澳大利亚
• 起止时间: 2005-01-01 至 2007-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/population-monitoring-coronary-modern-era/81630
• 关键词: Population; monitoring; coronary; heart; disease

Despite major reductions in mortality from heart attack over the past three decades, coronary heart disease (CHD) remains the leading cause of death and disability in Australia. It generates very large health costs and is one of five National priority areas for disease prevention and control. The most important manifestations of CHD are heart attacks, which require urgent hospital treatment, or sudden death, generally outside hospital. Accurate information to monitor trends in the incidence and outcomes of heart attack that can be used to assess the effectiveness for public health programs, establish requirements for clinical services, improve quality of care, and support studies of costs of health care, is essential. This study will use the unique capacity for medical record linkage in Western Australia (WA) to establish a comprehensive system to monitor the incidence, outcomes and emergency treatment of heart attack. It will combine information from a number of data sources including the hospital statistical system, emergency departments, ambulance services, laboratories and departments of cardiology. It will also obtain information from Commonwealth Department of Health and Aged care about the prescribing of selected medications, such as cholesterol lowering drugs, used in for the prevention of heart disease. Within this framework, it will undertake a number of sub-studies to improve the accuracy of information about heart attacks in the hospital statistical system to ensure consistency in measuring future trends, provide clinicians with state-wide information about outcomes of hospital care and the uptake of proven therapies, provide health administrators with information for planning services, and policy makers about the most cost-effective options for the preventions and control of heart disease.

尽管在过去三十年中，心脏病的死亡率大幅下降，但冠心病（CHD）仍然是澳大利亚死亡和残疾的主要原因。它产生了非常大的保健费用，是国家预防和控制疾病的五个优先领域之一。冠心病最重要的表现是心脏病发作，需要紧急住院治疗，或猝死，一般在医院外。监测心脏病发病率和结果趋势的准确信息至关重要，这些信息可用于评估公共卫生计划的有效性，确定临床服务的要求，提高护理质量，并支持卫生保健成本研究。本研究将利用西澳大利亚州（WA）独特的医疗记录联动能力，建立一个全面的系统来监测心脏病发作的发生率、结果和紧急治疗。它将结合来自多个数据源的信息，包括医院统计系统、急诊科、救护车服务、实验室和心脏病科。它还将从联邦卫生和老年保健部获得关于用于预防心脏病的某些药物的处方的信息，例如降低胆固醇的药物。在这个框架内，它将进行一些子研究，以提高医院统计系统中有关心脏病发作信息的准确性，以确保衡量未来趋势的一致性，为临床医生提供有关医院护理结果和采用经证实的治疗方法的全州信息，为卫生管理人员提供规划服务的信息，为政策制定者提供有关预防和控制心脏病的最具成本效益的选择。