臨床的意思決定を改善するための教育的なアウトリーチ ("学術的な詳細") の原則
1Department of Social Medicine, Harvard Medical School, Boston, MA 02115.
JAMA
|January 26, 1990
まとめ
学術的な詳細は,行動科学の原則を使用して,医師の処方を改善します. この方法は,臨床的意思決定を向上させ,医療の質を向上させ,医療費を削減します.
科学分野:
- 保健政策 保健政策 保健政策
- 行動科学は,行動科学である.
- 医療教育 医療教育について
背景:
- 医者が処方する慣行は,しばしば正確さと費用対効果が欠けている.
- 医薬品メーカーは,行動科学を通して処方箋に影響を及ぼすのに成功しています.
- 薬剤の費用と有効性の上昇のために,合理的な薬剤選択の改善は極めて重要です.
研究 の 目的:
- 医師の臨床的意思決定を強化するための方法の理論と実践を定義する.
- 合理的な処方によって医療の質と費用対効果を向上させる.
主な方法:
- 行動科学とフィールドトライアルを利用して,介入策を開発する.
- 医者のグループや意見リーダーに合わせた"学術的な詳細"のテクニックを実装する.
- インタビュー,明確な目標,信頼できる情報,積極的な参加,簡潔な資料,メッセージの繰り返し,ポジティブ・インフォースメントなどの戦略を用いること.
主要な成果:
- 学術的な詳細化技術は,不適切な処方量を減らすことが示されています.
- これらの方法は,不必要な医療費を削減します.
- 非営利セクターは,処方パターンを改善するためにこれらのテクニックを効果的に使用しています.
結論:
- 学術的な詳細は,医師の処方行動を改善するための効果的な戦略です.
- このアプローチは,医療の質を向上させ,医療費を削減します.
- 行動科学の原則は,臨床意思決定の最適化のための強力な基盤を提供します.
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