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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Tools, teamwork, and tenacity: an examination of family practice office system influences on preventive service delivery.
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Tools, teamwork, and tenacity: an examination of family practice office system influences on preventive service delivery.

机译：工具，团队合作和坚韧：对家庭执业办公室系统的检查对预防性服务的影响。

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摘要

Most research examining primary care office characteristics and preventive service delivery (PSD) has evaluated preventive service aids and equipment, while generally overlooking the complex interactions among multiple office systems where multiple factors influence the overall practice. We test a theoretical model of practice influences on PSD that accounts for Tools (preventive service aids/equipment), Teamwork (office organization), and Tenacity (prevention delivery attitudes).Office characteristics and 4454 patient visits were observed for 138 family physicians in northeast Ohio. Utilizing U.S. Preventive Services Task Force recommendations, age- and gender-specific PSD summary scores were computed for each patient and then averaged per physician. Multivariate analysis of variance tested office characteristic associations with PSD scores.Tools were common, but most were not significantly associated with PSD scores. The Teamwork indicators of clear staff role expectations and shared vision among physician and staff existed, respectively, for 80 and 73% of physicians. A high average reported practice focus on prevention existed, despite low staff involvement in PSD (22.2%). Compared with Tools, more Teamwork and Tenacity characteristics were associated with the PSD scores.Teamwork and Tenacity appear to be more important than Tools in delivering preventive services in primary care practices.
机译：大多数检查初级保健办公室特征和预防性服务提供（PSD）的研究都评估了预防性服务辅助设备和设备，但通常忽略了多个办公室系统之间的复杂相互作用，其中多种因素影响整体实践。我们测试了影响PSD的实践影响的理论模型，该模型解释了工具（预防性服务辅助/设备），团队合作（办公室组织）和坚韧（预防交付态度）。东北地区138位家庭医生的办公室特征和4454位患者就诊俄亥俄州。利用美国预防服务工作队的建议，针对每位患者计算特定于年龄和性别的PSD汇总分数，然后将其平均给每位医生。多变量方差分析测试了办公室特征与PSD得分的关系。工具是通用的，但大多数与PSD得分没有显着关联。分别有80％和73％的医师存在明确的员工角色期望和在医师和员工之间共同愿景的团队合作指标。尽管工作人员对私营部门司的参与率较低（22.2％），但据报道，有很高的平均实践重点放在预防上。与工具相比，PSD得分具有更多的团队合作和坚韧特征。在初级保健实践中，团队精神和坚韧似乎比工具更重要。

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