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医疗门诊中教育和管理干预措施的有效性。

Effectiveness of educational and administrative interventions in medical outpatient clinics.

作者信息

Pozen M W, Bonnet P D

出版信息

Am J Public Health. 1976 Feb;66(2):151-5. doi: 10.2105/ajph.66.2.151.

DOI:10.2105/ajph.66.2.151
PMID:175666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1653263/
Abstract

This study examines the popular belief that increased educational supervision and increased administrative support in university outpatient clinics will improve physician performance, which in turn will improve the process and outcome of patient care. Positive effects on house officers' attitudes and better functioning of clinics with respect to follow-up, information retrieval, and prescribing practices were demonstrated. However, no differences in the process and outcome of care were identified by faculty judges using implicit criteria.

摘要

本研究考察了一种普遍观点,即加强大学门诊诊所的教育监督和行政支持将提高医生的绩效,进而改善患者护理的过程和结果。研究表明,这对住院医生的态度产生了积极影响,并且诊所在随访、信息检索和处方实践方面的运作也有所改善。然而,使用隐性标准的教员评委并未发现护理过程和结果存在差异。

相似文献

1
Effectiveness of educational and administrative interventions in medical outpatient clinics.医疗门诊中教育和管理干预措施的有效性。
Am J Public Health. 1976 Feb;66(2):151-5. doi: 10.2105/ajph.66.2.151.
2
The impact on house officers of educational and administrative interventions in an outpatient department.门诊部教育及行政干预措施对住院医师的影响。
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Family practice clinics. Survey of family practice residents' attitudes.家庭医疗诊所。家庭医疗住院医师态度调查。
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Communication skills of house officers. A study in a medical clinic.住院医生的沟通技巧。一项在医疗诊所开展的研究。
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Listening to older adults: elderly patients' experience of care in residency and practicing physician outpatient clinics.倾听老年人的声音:住院医师和执业医师门诊老年患者的护理体验。
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Physician and patient assessment of ambulatory care in a University facility.大学机构中门诊护理的医生与患者评估
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The development of the team approach to medical care in clinical teaching units in relation to: (a) the quality of medical care; (b) the assurance of developing progressively increasing responsibility for patient care, under supervision; (c) Medicare.临床教学单位中团队医疗模式的发展与以下方面相关:(a) 医疗质量;(b) 在监督下确保逐步增加对患者护理的责任;(c) 医疗保险。
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The outpatient clinic; the crucible of the physician-patient relationship in graduate medical training.门诊诊所;毕业后医学培训中医患关系的严峻考验之地。
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Improving physician compliance with preventive medicine guidelines.提高医生对预防医学指南的依从性。
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An evaluation of the activities of nurses and pediatricians in a university outpatient department.
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引用本文的文献

1
Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review.医疗保健专业人员的临床监督能否提高护理效果和患者体验?一项系统综述。
BMC Health Serv Res. 2017 Nov 28;17(1):786. doi: 10.1186/s12913-017-2739-5.
2
Evaluation of a decentralized system for chronic disease care: seven years of observation.慢性病护理分散式系统的评估:七年观察
Am J Public Health. 1980 Apr;70(4):401-5. doi: 10.2105/ajph.70.4.401.
3
Quality measurement and control in physician decision making: state of the art.医生决策中的质量测量与控制:最新进展
Health Serv Res. 1982 Summer;17(2):125-55.
4
Measurement of physician specimen-handling errors and its contribution to laboratory information system quality.医生标本处理错误的测量及其对实验室信息系统质量的影响。
J Med Syst. 1987 Jun;11(2-3):95-103. doi: 10.1007/BF00992345.
5
Physician and patient assessment of ambulatory care in a University facility.大学机构中门诊护理的医生与患者评估
J Community Health. 1978 Fall;4(1):23-32. doi: 10.1007/BF01349582.
6
Blood pressure control in private practice: a case report.私人诊所中的血压控制:病例报告。
Am J Public Health. 1979 Jan;69(1):25-9. doi: 10.2105/ajph.69.1.25.

本文引用的文献

1
THE TRAINING OF THE PHYSICIAN; A NEW APPROACH TO TEACHING AMBULATORY MEDICINE.医生的培训;门诊医学教学的新方法。
N Engl J Med. 1964 Aug 13;271:349-51. doi: 10.1056/NEJM196408132710705.
2
The ecology of medical care.医疗保健生态学
N Engl J Med. 1961 Nov 2;265:885-92. doi: 10.1056/NEJM196111022651805.
3
Effectiveness of patient care in an emergency room.急诊室患者护理的有效性。
N Engl J Med. 1970 Oct 22;283(17):904-7. doi: 10.1056/NEJM197010222831705.
4
Peer review of medical care.医疗护理同行评审
Med Care. 1972 Jan-Feb;10(1):29-39. doi: 10.1097/00005650-197201000-00004.