GOUTStudy Discussion中.docVIP

Interviewee: Specialty: Rheumatologists Date: Screener for e-mail recruiting Rheumatologist practicing for 8 years post-residency Have experience treating and managing patients with gout Write at least 10 prescriptions per month for gout Spend a minimum of 10 hours/week in direct clinical practice Have multiple publications and/or presentations at country level/regional medical conferences Context/warmup We are interested in how gout is typically diagnosed and treated by you and your colleagues in [INSERT REGION/COUNTRY] and how this compares to typical practice in other countries. Presentation diagnosis Who do patients with gout typically present to first (PCP= primary care physicians保健医生 s, specialists)?通风患者的常见的临床变现首先是 If patients present to PCPs, do PCPs typically diagnose and confirm or do they refer patients to specialists for diagnosis? 如果解除到通风病人，是直接进行诊断或确诊还是转诊给风湿病专家进行诊断？ What % of gout patients do you think are treated by PCPs as compared to treatment by specialists in your country?贵国由基层保健医生和专家进行的通风诊断比例分别是？ PROMPT: Our research shows that in other countries, PCPs treat a large % of patients (upwards of 75%). Why do you think presentation and treatment in your country is different?据我们所知 ，其他国家由基层保健医生进行的诊断比例是75%，贵国目前的状况是？ What % of your gout patients are self-pay as compared to having some form of insurance that helps with the costs of pharmaceuticals?您目前解除的病人中，完全自费的比例是？ If insurance coverage is 0% above, then ask: For those that have coverage could you please describe the types of coverage that they have as well as percent breakdown?对于有保险的人群，分别是何种保险？分别大概是多少的自费比例？ How do you define hyperuricemia?您如何界定高尿酸血症？ Do you test for hyperuricemia?您对高尿酸血症进行检验吗？ PROBE: Do you perform routing screening for hyperuricemia?您是否对高尿酸血症进行常规筛查？ PROBE: What triggers a test for hyperuricemia?您通常是因为什么而对病人进行尿酸检测？ Do you treat hyperuricemia? If so, how?您会对高尿酸血症进行处理吗？如果是，如何处理？ How do you diagnose gout?您如何进行通风诊断？ How do you confirm a diagnosis of gout (PROBE: is microscopic examination