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Promover las actividades de prevención del cáncer por parte de los médicos de atención primaria. Resultados de un
S J McPhee1, J A Bird, D Fordham
1Department of Medicine, University of California, San Francisco.
JAMA
|July 24, 1991
Resumen
Los recordatorios computarizados mejoraron significativamente las actividades de prevención del cáncer en la atención primaria basada en la comunidad. Esta intervención mejoró el rendimiento del médico para exámenes de detección, tabaquismo y evaluaciones y consejería dietética.
Área de la Ciencia:
- Investigación de la atención primaria de la salud.
- Intervenciones de salud pública intervenciones de salud pública.
- Prevención del cáncer prevención del cáncer.
Sus antecedentes:
- Las intervenciones previas de prevención del cáncer se centraron en médicos universitarios.
- Los entornos de atención primaria basados en la comunidad han sido menos objetivo de tales iniciativas.
Objetivo del estudio:
- Evaluar la efectividad de los recordatorios computarizados para mejorar las actividades de prevención del cáncer entre los médicos de atención primaria en las prácticas comunitarias.
Principales métodos:
- Asignación aleatoria de 40 médicos de atención primaria a los grupos de intervención (recordadores computarizados) o de control.
- Revisión de los registros médicos para evaluar el rendimiento de las pruebas de detección, el tabaquismo y las evaluaciones / consejería dietética.
- Análisis de regresión múltiple para determinar diferencias incrementales en las puntuaciones de rendimiento.
Principales resultados:
- Se observaron aumentos significativos en la puntuación de rendimiento (P<.05) para las pruebas de sangre oculta de heces, exámenes rectales, exámenes pélvicos, frotis de Papanicolaou, exámenes de mama, evaluación/asesoramiento de tabaquismo y evaluación/asesoramiento dietético.
- Los incrementos de rendimiento oscilaron entre +8,7% y +30,7% para estas maniobras.
- No se encontraron incrementos significativos para la sigmoidoscopia o la mamografía.
Conclusiones:
- Los recordatorios computarizados son efectivos para mejorar el rendimiento del médico en las actividades de prevención del cáncer.
- Esta intervención es prometedora para mejorar la prevención del cáncer en los entornos de atención primaria basados en la comunidad.
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