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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Direct observation of rates of preventive service delivery in community family practice.
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Direct observation of rates of preventive service delivery in community family practice.

机译：直接观察社区家庭实践中预防服务的提供率。

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BACKGROUND: Data on preventive service delivery in primary care practice have been limited by indirect methods of measurement. This study describes directly observed rates of preventive service delivery during outpatient visits to community family physicians. METHODS: In a multimethod cross-sectional study, research nurses directly observed consecutive patient visits in the offices of 138 family physicians in Northeast Ohio. Patient eligibility for services recommended by the U.S. Preventive Services Task Force was determined from medical record review. Service delivery was assessed by direct observation of outpatient visits. Rates of delivery of specific preventive services were computed. Global summary measures were calculated for health habit counseling, screening, and immunization services. RESULTS: Among 4,049 visits by established patients with available medical records, wide variation was observed among rates of different preventive services delivered during well-care visits. During illness visits, rates were uniformly low for all preventive services. Counseling services were delivered at only slightly lower rates during illness visits compared to well visits. Patients were up to date on 55% of screening, 24% of immunization, and 9% of health habit counseling services. CONCLUSION: Rates of preventive service delivery are low. Illness visits are important opportunities to deliver preventive services, particularly health habit counseling, to patients. Preventive service delivery summary scores are useful in providing a patient population perspective on the delivery of preventive services and in focusing attention on delivery of a comprehensive portfolio of services. Copyright 2000 American Health Foundation and Academic Press.
机译：背景：在初级保健实践中有关预防性服务提供的数据受到间接测量方法的限制。这项研究描述了在社区社区医生的门诊期间直接观察到的预防性服务提供率。方法：在一项多方法横断面研究中，研究护士直接观察了俄亥俄州东北部138位家庭医生办公室中连续的患者就诊情况。根据病历审查确定患者是否符合美国预防服务工作队的推荐服务资格。通过直接观察门诊来评估服务的提供。计算了特定预防服务的交付率。计算了用于健康习惯咨询，筛查和免疫服务的总体汇总指标。结果：在有可用病历的既定患者就诊的4,049例访视中，观察到的良好护理访视期间提供的不同预防服务的比率差异很大。在疾病访视期间，所有预防服务的费用统一较低。与疾病访视相比，疾病访视期间咨询服务的交付率仅略低。接受55％的筛查，24％的免疫接种和9％的健康习惯咨询服务的患者是最新的。结论：预防性服务的提供率很低。疾病就诊是向患者提供预防服务，尤其是健康习惯咨询的重要机会。预防性服务提供摘要分数有助于提供患者人群对预防性服务提供的看法，并有助于集中精力提供全面的服务组合。版权所有2000美国健康基金会和学术出版社。

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