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预防保健检查表。基于证据的工具,用于在成人全面健康评估期间改善预防性医疗保健。

Preventive care checklist form. Evidence-based tool to improve preventive health care during complete health assessment of adults.

作者信息

Dubey Vinita, Glazier Richard

机构信息

Department of Public Health Sciences, University of Toronto, Ontario.

出版信息

Can Fam Physician. 2006 Jan;52(1):48-55.

Abstract

PROBLEM ADDRESSED

Preventive care is a cornerstone in the practice of family medicine, but is often difficult to provide because of a lack of time and logistic difficulties.

OBJECTIVE OF PROGRAM

To develop an evidence-based practice-relevant preventive care checklist form to be used by family physicians during complete health assessment of adults.

PROGRAM DESCRIPTION

Guidelines for preventive health care of adults at average risk from the Canadian Task Force on Preventive Health Care and from other Canadian sources where the Task Force guidelines were not up-to-date were reviewed. Checklist forms covering recommended preventive health care maneuvers were created. The forms incorporate evidence-based preventive care guidelines as well as non-evidence-based components that are a part of routine practice. The forms require few resources to implement, are cost-effective, and are easy to use. The forms list items needed to meet provincial billing requirements for complete health assessments and have space for physicians to make notes. The forms can be used electronically or printed off and photocopied for use in paper-based charts.

CONCLUSION

The Preventive Care Checklist Form is a low-cost, easy-to-use tool that merges practice maneuvers with evidence-based recommendations. It could help improve preventive care practices in Canada.

摘要

解决的问题

预防保健是家庭医学实践的基石,但由于时间不足和后勤困难,往往难以提供。

项目目标

制定一份与实践相关的循证预防保健检查表,供家庭医生在对成年人进行全面健康评估时使用。

项目描述

审查了加拿大预防保健特别工作组以及其他加拿大来源(在特别工作组指南未更新的情况下)针对平均风险成年人的预防保健指南。创建了涵盖推荐预防保健措施的检查表。这些表格纳入了循证预防保健指南以及作为常规实践一部分的非循证部分。这些表格实施所需资源很少,具有成本效益且易于使用。表格列出了满足省级全面健康评估计费要求所需的项目,并为医生做笔记留出了空间。这些表格可以电子方式使用,也可以打印出来并复印以用于纸质病历。

结论

预防保健检查表是一种低成本、易于使用的工具,它将实践措施与循证建议相结合。它有助于改善加拿大的预防保健实践。

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