促进初级保健医生开展癌症预防活动. 一个随机对照试验的结果
S J McPhee1, J A Bird, D Fordham
1Department of Medicine, University of California, San Francisco.
JAMA
|July 24, 1991
概括
计算机提醒显著改善了基于社区的初级保健中的癌症预防活动. 这种干预措施提高了医生在查,吸烟和饮食评估和咨询方面的表现.
科学领域:
- 初级护理研究初级护理研究
- 公共卫生干预措施 公共卫生干预措施
- 预防癌症 预防癌症
背景情况:
- 之前的癌症预防干预专注于大学医生.
- 基于社区的初级保健机构对此类举措的目标较少.
研究的目的:
- 评估计算机提醒在加强社区实践中的初级保健医生癌症预防活动中的有效性.
主要方法:
- 随机分配40名初级保健医生参加干预 (计算机提醒) 或控制组.
- 医疗记录审查,以评估查测试,吸烟和饮食评估/咨询的表现.
- 多重回归分析以确定绩效得分的增量差异.
主要成果:
- 对于便隐性血液测试,直肠检查,骨盆检查,帕帕尼科劳涂抹,乳房检查,吸烟评估/咨询和饮食评估/咨询,观察到显著的绩效得分增加 (P<.05).
- 对于这些动作,性能增幅从+8.7%到+30.7%不等.
- 没有发现显著的增量,为sigmoidoscopy或哺乳镜.
结论:
- 计算机提醒有助于提高医生在癌症预防活动中的表现.
- 这种干预措施显示了增强社区基础初级保健机构癌症预防的前景.
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