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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Randomized controlled trial of a computer strategy to increase general practitioner preventive care.
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Randomized controlled trial of a computer strategy to increase general practitioner preventive care.

机译：增加全科医生预防保健的计算机策略随机对照试验。

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BACKGROUND: Previous interventions targeting primary care practitioners with the aim of increasing preventive care delivery have demonstrated limited effectiveness. The primary aim of this study was to assess the effectiveness of a computerized continuing medical education program to increase rates of three screening behaviors (cholesterol, blood pressure, and cervical screening) and to identify three risk behaviors (smoking, alcohol consumption, benzodiazepine use) in general practice. METHODS: Nineteen general practitioners were randomly allocated to intervention or control conditions. Those given the intervention received a computerized feedback system. The intervention was delivered using a touch-screen computer located in the surgery waiting area. The preventive behaviors of interest were patient smoking, alcohol use, benzodiazepine use, and blood pressure, cholesterol and cervical screening using the Papanicolou test. Differences in performance by group in each of the outcomes was measured at baseline and 3-month follow-up. Logistic regression analyses with generalized estimating equations were conducted as the main analyses. RESULT: At 3-month follow-up, statistically significant differences were evident in the following outcome measures: accurate classification of benzodiazepine users (z = 2.8540, P < 0.05); accurate classification of non-benzodiazepine users (z = 2.7339, P < 0.05); accurate classification of hazardous or harmful alcohol drinkers (z = 2.3079, P < 0.02); blood pressure screening (z = 3.4136, P < 0.001); and cholesterol screening (z = 6.6313, P < 0.001). CONCLUSION: A computerized system of performance-specific feedback was effective at increasing some preventive care services in general practice. Copyright 1999 American Health Foundation and Academic Press.
机译：背景：以前针对初级保健医生的旨在增加预防保健服务的干预措施已证明效果有限。这项研究的主要目的是评估计算机化的继续医学教育计划的有效性，以提高三种筛查行为（胆固醇，血压和子宫颈筛查）的发生率，并确定三种风险行为（吸烟，饮酒，使用苯二氮卓类药物）在一般实践中。方法：将19名全科医生随机分配至干预或控制条件。受到干预的人得到了计算机反馈系统。使用位于手术等待区的触摸屏计算机进行干预。感兴趣的预防行为是患者吸烟，饮酒，使用苯二氮卓类药物以及使用Papanicolou测试进行血压，胆固醇和子宫颈筛查。在基线和3个月的随访中测量了每个结局中各组的表现差异。以广义估计方程进行逻辑回归分析为主要分析。结果：在3个月的随访中，以下结局指标在统计​​学上具有显着差异：苯二氮卓类药物使用者的准确分类（z = 2.8540，P <0.05）;非苯二氮卓类药物使用者的准确分类（z = 2.7339，P <0.05）;对危险或有害饮酒者进行准确分类（z = 2.3079，P <0.02）;血压筛查（z = 3.4136，P <0.001）;和胆固醇筛查（z = 6.6313，P <0.001）。结论：计算机化的绩效反馈系统可以有效地增加一般实践中的一些预防保健服务。版权所有1999美国健康基金会和学术出版社。

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