儿童哮喘初级医疗服务利用与再住院的多中心关联数据队列研究

数据集获取（Figshare）

• 源站标题：Primary health care utilization and hospital readmission in children with asthma: a multi-site linked data cohort study
• DOI：10.6084/m9.figshare.22010051.v1
• 发布日期：2023-02-04
• 文件数：2 个
• 文件总体积：44.01 KB
• 源站页面：https://tandf.figshare.com/articles/dataset/Primary_health_care_utilization_and_hospital_readmission_in_children_with_asthma_a_multi-site_linked_data_cohort_study/22010051

命令行下载

curl -L -o "ijas_a_2164200_sm6732.docx" "https://ndownloader.figshare.com/files/39065420"
curl -L -o "ijas_a_2164200_sm6731.docx" "https://ndownloader.figshare.com/files/39065423"

文件清单

• ijas_a_2164200_sm6732.docx（32.58 KB）
• ijas_a_2164200_sm6731.docx（11.44 KB）

文件总体积 44.01 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

To (1) describe primary health care utilization and (2) estimate the effect of primary care early follow-up, continuity, regularity, frequency, and long consultations on asthma hospital readmission, including secondary outcomes of emergency (ED) presentations, asthma preventer adherence, and use of rescue oral corticosteroids within 12 months.
An Australian multi-site cohort study of 767 children aged 3–18 years admitted with asthma between 2017 and 2018, followed up for at least 12 months with outcome and primary care exposure data obtained through linked administrative datasets. We estimated the effect of primary care utilization through a modified Poisson regression adjusting for child age, asthma severity, socioeconomic status and self-reported GP characteristics.
The median number of general practitioner (GP) consultations, unique GPs and clinics visited was 9, 5, and 4, respectively. GP care was irregular and lacked continuity, only 152 (19.8%) children visited their usual GP on more than 60% of occasions. After adjusting for confounders, there was overall weak indication of effects due to any of the exposures. Increased frequency of GP visits was associated with reduced readmissions (4–14 visits associated with risk ratio of 0.71, 95% CI 0.50–1.00, p = 0.05) and ED presentations (>14 visits associated risk ratio 0.62, 95% CI 0.42–0.91, p = 0.02).
Our study demonstrates that primary care use by children with asthma is often irregular and lacking in continuity. This highlights the importance of improving accessibility, consistency in care, and streamlining discharge communication from acute health services.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.6084/m9.figshare.22010051.v1（source: https://tandf.figshare.com/articles/dataset/Primary_health_care_utilization_and_hospital_readmission_in_children_with_asthma_a_multi-site_linked_data_cohort_study/22010051）。