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增强反和简短的教育提醒信息对实验室测试在初级保健要求的影响:一个集群随机试验
Ruth E Thomas1, Bernard Lewis Croal, Craig Ramsay
1Health Services Research Unit, University of Aberdeen, Aberdeen, UK.
Lancet (London, England)
|June 20, 2006
概括
初级保健医生可以使用增强的反和教育提醒来减少不必要的实验室测试. 这些干预措施有效地降低了测试请求,提高了医疗保健机构的效率.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
- 临床实验室科学 临床实验室科学
背景情况:
- 实验室服务对于患者护理至关重要,但面临着越来越多不必要的测试利用的挑战.
- 不必要的实验室测试请求会影响医疗保健资源和患者管理.
研究的目的:
- 评估两项干预措施对初级保健医生进行实验室测试的影响.
- 评估增强反和教育提醒在减少测试请求方面的有效性.
主要方法:
- 一个集群随机对照试验,采用2x2因数设计,在85个初级保健实践中进行.
- 干预措施包括对实践要求率的季度反,以及带有测试结果的教育提醒.
- 衡量的主要结果是12个月内要求的有针对性的实验室测试总数.
主要成果:
- 增强反和提醒信息都显著减少了所要求的有针对性的实验室测试总数.
- 接受其中一项或两项干预的实践与对照组相比,要求率较低.
- 单个测试效果各不相同,但在两种策略下,总体测试订单减少.
结论:
- 对要求费率和教育提醒信息的增强反是减少初级保健中实验室测试使用的有效策略.
- 这些干预措施在大多数实验室环境中都是可行的.
- 这些策略的组合或单独应用可以优化实验室测试订单.
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