Pozen M W, Bonnet P D
Am J Public Health. 1976 Feb;66(2):151-5. doi: 10.2105/ajph.66.2.151.
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.
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。