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Physicians participation in establishing criteria for hypertension management in the office: will patient outcomes be improved?

机译:医师参与办公室高血压管理标准的建立:患者的预后是否会得到改善?

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摘要

We designed this study to determine whether an intensive 1-day educational workshop involving family physicians in establishing essential criteria for hypertension management would significantly affect the short-term outcomes of hypertensive patients in their practices. Forty randomly selected physicians were separated into three groups: those who would be involved in establishing the criteria (15), those who would receive the criteria by mail (15) and those who would act as controls and not be aware of the criteria (10). We found no significant difference between the three groups in the number of hypertensive patients whose condition remained uncontrolled after the intervention. We conclude that physicians' participation in the establishment of standards of care for conditions such as hypertension or their awareness of such standards does not independently result in significantly better patient outcomes. Consequently, we recommend that physicians and health care planners concerned with improving outcomes not rely on any single intervention strategy when planning change.
机译:我们设计了这项研究,以确定由家庭医生进行的为期1天的强化教育研讨会,以建立高血压管理的基本标准是否会显着影响高血压患者的短期治疗结果。 40名随机选择的医生分为三类:将参与建立标准的医生(15),将通过邮件接收标准的医生(15)和将作为对照但不了解标准的医生(10)。 )。我们发现,干预后病情仍未得到控制的高血压患者数量在三组之间没有显着差异。我们得出的结论是,医师参与建立诸如高血压之类的护理标准或他们对此类标准的认识并不能独立地显着改善患者的预后。因此,我们建议在计划变更时,与改善结局有关的医生和卫生保健计划者不要依赖任何干预策略。

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