Lökk J, Nilsson M, Norberg B, Hultdin J, Sandström H, Westman G
Department of Clinical Neuroscience, Occupational Therapy and Elderly Care Research, Division of Geriatric Medicine, Huddinge Hospital/Karolinska Institute, Hudinge, Sweden.
Int J Geriatr Psychiatry. 2001 Oct;16(10):987-92. doi: 10.1002/gps.455.
The objective of the study was to test attitudes, knowledge and competence of Swedish general practitioners and geriatricians concerning B12-associated problems in 1998.
Postal questionnaires were sent to a random sample of 485 GPs and a total sample of 613 geriatricians. The response rates were 70% in the GP group and 69% in the geriatrician group. The questionnaire contained 24 statements to be evaluated by a visuo-analogue scale.
There were small numerical differences between the two physician groups. The geriatricians were more aware of risk groups for B12 deficiency. GPs were less categorical concerning low hit rate in the laboratory testing of clinical conclusions. There were statistical differences in both directions for statements on pitfalls in laboratory diagnostics. GPs were somewhat less prone to give risk groups prophylactic B12 therapy.
GPs and geriatricians appeared to be familiar with the current debate on B12-associated problems, suggesting that health care quality will be unaffected by patient transfer from hospital care to primary health care.
本研究的目的是测试1998年瑞典全科医生和老年病医生对与维生素B12相关问题的态度、知识和能力。
向485名全科医生的随机样本和613名老年病医生的总体样本发送了邮政问卷。全科医生组的回复率为70%，老年病医生组的回复率为69%。问卷包含24条陈述，需通过视觉模拟量表进行评估。
两组医生之间在数值上存在微小差异。老年病医生更了解维生素B12缺乏的风险群体。全科医生对临床结论实验室检测中的低命中率的分类较少。关于实验室诊断陷阱的陈述在两个方向上均存在统计学差异。全科医生在给予风险群体预防性维生素B12治疗方面略显不那么倾向。
全科医生和老年病医生似乎熟悉当前关于与维生素B12相关问题的辩论，这表明从医院护理转向初级卫生保健不会影响医疗质量。
