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AK 人群的医疗保健利用度

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Article first published online: 01 Sep 2019
DOI: 10.1111/bjd.18283

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Summary

日光性角化病 (AK) 是浅色皮肤的人因为长期暴露在阳光下而引起的粗糙的皮肤损伤(斑片)。AK 的患病率高,在大于 50 岁人群中影响24‐60% 人口。存在很多 AK 表示此人更容易发生皮肤癌。这项来自荷兰的研究旨在通过描述 AK 人群如何使用医疗保健服务,以及 GP 和皮肤科医生对于此病的管理,来提供 AK 管理(治疗)见解。作者们发现,相当比例的 AK 人群不知道自己患有 AK,因此也不知道皮肤癌风险增高。GP 水平的治疗似乎普遍与指南不符,31% 的患者在第一次 GP 预约时被直接转诊给皮肤科医生。这些转诊通常与 AK 的广泛程度(即患者有多少 AK)无关。由于这些可以被 GP 轻松治疗的患者,导致二级医疗(例如医院,人们在这里被转诊给皮肤科医生)的负担增高。在皮肤科医生那里,AK 患者的随访率高,意味着他们会返回进行后续预约。作者们总结说,这些发现表明医疗保健资源的利用效率不足。他们指出,为了克服这种现象,应探明 GP 和皮肤科医生在管理 AK 方面偏离当前指南的动机。

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