Schattner P, Markey P, Mathews M
Department of General Practice, Monash University, Victoria.
Aust Fam Physician. 2001 Mar;30(3):300-4.
The increasingly complex challenge for medical practitioners to keep up to date and use the best available evidence in their clinical decision making has led to important studies on the effectiveness of various strategies to change clinician behaviour. Divisions of General Practice can develop an evidence based framework to support this change.
The aims of this paper are to: discuss effective interventions to change clinicians' behaviour describe the theories which underlie these strategies suggest a framework for Divisions of General Practice to design and implement effective programs.
Continuing medical education and guideline implementation serve to highlight the impact of various change strategies. The interventions and the theories that underlie them, whether they be from a social, behavioural or organisational perspective, offer Divisions of General Practice an opportunity to support GPs in their ongoing professional need for quality improvement.
对于医学从业者而言，在临床决策中跟上最新进展并运用最佳可得证据的挑战日益复杂，这引发了关于改变临床医生行为的各种策略有效性的重要研究。全科医学部门可以制定一个基于证据的框架来支持这一转变。
本文的目的是：讨论改变临床医生行为的有效干预措施；描述这些策略背后的理论；为全科医学部门设计和实施有效项目提出一个框架。
继续医学教育和指南实施有助于凸显各种变革策略的影响。这些干预措施及其背后的理论，无论从社会、行为还是组织角度来看，都为全科医学部门提供了一个机会，以支持全科医生在持续的专业发展中对质量改进的需求。
