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临床医生在怀疑喘的成年人中订购肺功能测试的障碍
Alana Haussmann1, Anita N Moudgal2, Megan Calzia1
1From the University of Colorado School of Medicine, Aurora, CO (AM, MC, LH); Denver Health Medical Center, Denver, CO (LH); University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA (AH).
概括
初级保健临床医生经常跳过肺功能测试 (PFTs) 喘,由于缺乏对管理的影响. 教育临床医生和使用电子健康记录提示可能会改善指导方针的遵守和喘护理质量.
科学领域:
- 肺部病理学 肺部病理学
- 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
背景情况:
- 国家和国际指导方针推肺功能测试 (PFTs) 怀疑喘.
- 主要护理临床医生对这些PFT指南的遵守程度较低.
- 在初级保健临床医生中对PFT订购的障碍尚未得到充分理解.
研究的目的:
- 为了确定临床医生专注的障碍,在初级保健机构中订购PFT.
- 探索基于电子健康记录 (EHR) 的潜在解决方案,以增加PFT订单.
主要方法:
- 对初级保健医生进行了一项11项基于互联网的调查.
- 该调查于2021年8月至2021年11月期间在安全网机构进行.
- 对一个关于障碍的开放式问题进行了定性分析.
主要成果:
- 该调查实现了59%的响应率 (117/200名临床医生).
- 最重要的障碍包括:相信测试不会改变管理,测试地点的距离和患者的努力.
- 临床医生喜欢EHR提示订购PFT;定性数据加强了测试对管理的影响是关键问题.
结论:
- 肺功能检测提高了诊断准确度,并减少了不适当的喘疗法.
- 教育临床医生关于PFT如何影响管理是一个关键的可修改障碍.
- 将临床医生的教育与电子健康记录提示相结合,可能会改善指导方针的遵守和喘护理质量.
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