主治医によるがん予防活動の促進. ランダム化され,コントロールされた試験の結果
S J McPhee1, J A Bird, D Fordham
1Department of Medicine, University of California, San Francisco.
JAMA
|July 24, 1991
まとめ
コンピュータ化されたリマインダーは,コミュニティベースのプライマリケアにおけるがん予防活動を大幅に改善しました. この介入は,検診,喫煙,食事の評価,カウンセリングの医師のパフォーマンスを向上させました.
科学分野:
- プライマリケアの研究は,プライマリケア研究です.
- 公共衛生の介入 公共衛生の介入
- 癌の予防 癌の予防
背景:
- これまでのがん予防の介入は,大学を拠点とする医師に焦点を当てていた.
- コミュニティベースのプライマリーケア施設は,このようなイニシアチブのターゲットとしてあまり扱われていない.
研究 の 目的:
- コミュニティベースの実践におけるプライマリケア医師の間でがん予防活動の強化におけるコンピュータ化されたリマインダーの有効性を評価する.
主な方法:
- 40人の初等医療従事医をランダムに介入 (コンピュータによるリマインダー) または対照グループに割り当てました.
- スクリーニングテスト,喫煙,ダイエット評価/カウンセリングのパフォーマンスを評価するための医療記録のレビュー.
- 複数の回帰分析により,パフォーマンススコアのインクリメンタル差を判別する.
主要な成果:
- 糞便のオカルト血液検査,直腸検査,骨盤検査,パパニコラウ検査,乳房検査,喫煙評価/カウンセリング,食事評価/カウンセリングにおいて,パフォーマンスのスコアが著しく上昇した (P<.05).
- これらのマニュアルのパフォーマンスインクリメントは+8.7%から+30.7%まででした.
- シグモイドスコピーやマンモグラフィーでは,有意な増加は認められませんでした.
結論:
- コンピュータ化されたリマインダーは,がん予防活動の医師のパフォーマンスを向上させるのに有効です.
- この介入は,コミュニティベースのプライマリーケア施設でのがん予防の強化に有望であることを示しています.
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