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全科医疗咨询中的预防活动:对医疗服务表现的影响

Preventive activities during consultations in general practice: influences on performance.

作者信息

Frank Oliver, Litt John, Beilby Justin

机构信息

Department of General Practice, University of Adelaide, South Australia.

出版信息

Aust Fam Physician. 2005 Jun;34(6):508-12.

Abstract

BACKGROUND

The relationship between the performance of opportunistic preventive activities in general practice consultations and characteristics of patients, general practitioners, consultations and preventive opportunities is poorly understood.

METHODS

We recorded the performance of 11 preventive care activities by 10 GPs in one practice and examined the associations of performance of the preventive activities and the characteristics of the patients, GPs, consultations and preventive opportunities.

RESULTS

Every patient, GP, consultation and preventive opportunity characteristic studied was independently significantly associated with the performance of at least two of the preventive activities.

DISCUSSION

These findings suggest ways of designing more effective reminders, particularly for patients least likely to receive prevention counselling.

摘要

背景

在全科医疗咨询中,机会性预防活动的实施情况与患者、全科医生、咨询以及预防机会的特征之间的关系尚不清楚。

方法

我们记录了一家诊所中10名全科医生开展的11项预防保健活动的实施情况,并研究了预防活动的实施情况与患者、全科医生、咨询以及预防机会的特征之间的关联。

结果

所研究的每一项患者、全科医生、咨询和预防机会特征均与至少两项预防活动的实施情况独立且显著相关。

讨论

这些发现提示了设计更有效提醒方式的方法,尤其是针对最不可能接受预防咨询的患者。

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