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南澳大利亚高血压调查。全科医生的认知与报告的管理实践——令人担忧?

South Australian hypertension survey. General practitioner knowledge and reported management practices--a cause for concern?

作者信息

Steven I D, Wilson D H, Wakefield M A, Beilby J, Coffey G A, Esterman A J, Golding A P, Graham N M, Litt J C, Rohrsheim R A

机构信息

Research and Health Promotion Unit, Royal Australian College of General Practitioners, Stepney.

出版信息

Med J Aust. 1992 Mar 16;156(6):423-8.

PMID:1545751
Abstract

OBJECTIVE

To survey South Australian general practitioners to investigate their knowledge and reported management of patients with hypertension.

DESIGN, SETTING AND PARTICIPANTS: Of 156 randomly selected SA general practitioners 132 responded to a questionnaire survey.

RESULTS

This survey showed substantial differences between general practitioners in their knowledge about hypertension and in their reported practices for diagnostic levels, investigations to be undertaken once diagnosis had been made, levels at which pharmaceutical treatment should be initiated, at which level treatment was regarded as having attained satisfactory control, and length of time for routine review. There was also a demand for materials to be provided to assist in the management of this important condition.

CONCLUSIONS

There is a perceived need for better and more appropriate educational materials and a need for a different approach to try and reduce the reported variability in management of patients with hypertension by general practitioners.

摘要

目的

对南澳大利亚州的全科医生进行调查,以了解他们对高血压患者的认知以及所报告的管理情况。

设计、地点和参与者:在随机抽取的156名南澳大利亚州全科医生中,有132名回复了问卷调查。

结果

本次调查显示,全科医生在高血压知识、诊断水平报告做法、确诊后应进行的检查、开始药物治疗的水平、治疗被视为达到满意控制的水平以及常规复查时间长度等方面存在显著差异。对于提供有助于管理这一重要病症的资料也有需求。

结论

人们认为需要更好、更合适的教育资料,并且需要采取不同方法来尝试减少全科医生对高血压患者管理中所报告的差异。

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