教育外展 ("学术详细") 的原则,以改善临床决策
1Department of Social Medicine, Harvard Medical School, Boston, MA 02115.
JAMA
|January 26, 1990
概括
学术详细化通过使用行为科学原则来改善医生处方. 这种方法增强了临床决策,从而提高了护理质量,降低了医疗保健成本.
科学领域:
- 卫生政策 卫生政策
- 行为科学 行为科学
- 医学教育 医学教育
背景情况:
- 医生处方的做法往往缺乏准确性和成本效益.
- 药品制造商通过行为科学成功地影响了处方.
- 由于药物成本和疗效的上升,提高合理的药物选择至关重要.
研究的目的:
- 定义理论和实践的方法,以提高医生临床决策.
- 通过合理的处方来提高医疗保健的质量和成本效益.
主要方法:
- 利用行为科学和实地试验来开发干预措施.
- 实施针对医生团体和论领袖的"学术详细化"技术.
- 采用采访,明确目标,可信信息,积极参与,简洁材料,信息重复和积极强化等策略.
主要成果:
- 学术详细化技术已被证明可以减少不适当的处方.
- 这些方法可以减少不必要的医疗保健支出.
- 非营利部门已经有效地使用了这些技术来改善处方模式.
结论:
- 学术详细是改善医生处方行为的有效策略.
- 这种方法提高了护理质量,并降低了医疗保健成本.
- 行为科学原则为优化临床决策提供了坚实的基础.
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