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基层医疗临床医生对电子临床提醒和临床实践指南的态度。

Primary care clinician attitudes towards electronic clinical reminders and clinical practice guidelines.

作者信息

Gandhi Tejal K, Sequist Thomas D, Poon Eric G, Karson Andrew S, Murff Harvey, Fairchild David G, Kuperman Gilad J, Bates David W

机构信息

Brigham and Women's Hospital, Boston, MA, USA.

出版信息

AMIA Annu Symp Proc. 2003;2003:848.

Abstract

Compliance with outpatient practice guidelines is low and clinical reminders have had variable success in improving adherence rates. We surveyed primary care physicians (PCPs) regarding practice guidelines and the perceived utility of electronic reminders for both routine health maintenance (HM) items and chronic disease management. Most PCPs preferred receiving reminders in an electronic format rather than a paper format. Electronic reminders were felt to be more useful for HM items than for diabetes management. The majority of clinicians felt that electronic reminders significantly improved overall health care quality.

摘要

门诊实践指南的依从性较低,临床提醒在提高依从率方面的成效不一。我们就实践指南以及电子提醒对于常规健康维护(HM)项目和慢性病管理的感知效用,对基层医疗医生(PCP)进行了调查。大多数基层医疗医生更喜欢以电子形式而非纸质形式接收提醒。他们认为电子提醒对健康维护项目比对糖尿病管理更有用。大多数临床医生认为电子提醒显著提高了整体医疗质量。

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