对职业医生的同行指导干预对预防任务分配的时间的影响:一个集群随机对照试验
Suzanne Orhan Pees1,2, Sandra H van Oostrom3, Frederieke G Schaafsma2
1Department of Behaviour and Health, Center for Prevention, Lifestyle and Health, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands suzanne.pees@rivm.nl.
同行指导干预并没有显著增加职业医生 (OP) 的整体预防性任务时间. 然而,干预组中的OP花费了更多时间来提供二次预防性咨询.
科学领域:
- 职业健康 职业健康 职业健康
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 职业医生 (OPs) 在预防任务中发挥着至关重要的作用.
- 研发了一项同行辅导干预措施,以支持OP.
- 该干预旨在加强在实践中执行预防任务.
研究的目的:
- 评估同行辅导干预对OPs执行预防任务的影响.
- 评估一般和特定预防活动的时间分配的变化.
主要方法:
- 集群随机对照试验涉及41个同行组中的231个OP.
- 干预组接受了三次同行辅导课程.
- 在基线,6个月和12个月收集的数据是指分配给预防任务的时间.
主要成果:
- 在预防工作时间的总百分比中,没有显著的差异 (14%至17%).
- 与基线相比,干预组的二次预防建议时间每月增加了5个小时.
结论:
- 同行辅导干预没有影响整体预防性任务时间,可能是由于背景因素.
- 对于二次预防性建议,观察到一个积极的影响,表明有针对性的好处.
- 未来的研究应该探索雇主投资和干预改进.
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