Dubey Vinita, Glazier Richard
Department of Public Health Sciences, University of Toronto, Ontario.
Can Fam Physician. 2006 Jan;52(1):48-55.
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.
To develop an evidence-based practice-relevant preventive care checklist form to be used by family physicians during complete health assessment of adults.
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.
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.
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。
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。
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。
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。