机会性电子提醒。提高全科医疗中预防保健的绩效。
Opportunistic electronic reminders. Improving performance of preventive care in general practice.
作者信息
Frank Oliver, Litt John, Beilby Justin
机构信息
Hampstead Medical Clinic, Hampstead Gardens, South Australia.
出版信息
Aust Fam Physician. 2004 Jan-Feb;33(1-2):87-90.
BACKGROUND
Preventive care is an important role for general practitioners, yet opportunities for prevention are often missed.
METHOD
We provided an automatic electronic record preventive care reminder system for 12 preventive care activities for one 10 doctor practice. All patients who attended were randomised by the terminal digit of their record number.
RESULTS
The control uptake of opportunistic prevention was low; ranging from 1.5% (tetanus immunisation) to 27% (influenza immunisation). The reminders increased this by significant but small amounts for four out of 12 activities (immunisation for tetanus and pneumococcus and recording of allergies and weight), insignificant increases for four (mumps, measles and rubella immunisation, recording of smoking, and taking of cervical smears and of blood pressure), and insignificantly decreased influenza immunisation, and screening for diabetes and hyperlipidaemia.
DISCUSSION
Opportunistic electronic reminders have the potential to increase preventive care in general practice.
背景
预防保健是全科医生的一项重要职责，但预防机会常常被错过。
方法
我们为一家拥有10名医生的诊所的12项预防保健活动提供了一个自动电子记录预防保健提醒系统。所有就诊患者均根据其病历号的末位数字进行随机分组。
结果
机会性预防的对照接受率较低；从1.5%（破伤风免疫）到27%（流感免疫）不等。提醒使12项活动中的4项（破伤风和肺炎球菌免疫以及过敏和体重记录）有显著但少量的增加，4项（腮腺炎、麻疹和风疹免疫、吸烟记录、宫颈涂片和血压测量）增加不显著，流感免疫以及糖尿病和高脂血症筛查则有不显著的下降。
讨论
机会性电子提醒有可能增加全科医疗中的预防保健。
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