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应对治疗惰性：治疗数据在质量指标中的作用。

Tackling therapeutic inertia: role of treatment data in quality indicators.

作者信息

Guthrie Bruce, Inkster Melanie, Fahey Tom

机构信息

Community Health Sciences, University of Dundee, Dundee DD2 4BF.

出版信息

BMJ. 2007 Sep 15;335(7619):542-4. doi: 10.1136/bmj.39259.400069.AD.

DOI:10.1136/bmj.39259.400069.AD
PMID:17855323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1976517/
Abstract

Many patients with hypertension remain undertreated despite the apparent rosy picture given by doctors meeting current targets. Different measures are needed to overcome therapeutic inertia, argue and

摘要

尽管医生达到当前治疗目标的情况看似乐观，但许多高血压患者仍未得到充分治疗。需要采取不同措施来克服治疗惰性，有人认为…… （原文最后“argue and”表述不完整，可能影响准确理解）

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本文引用的文献

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Pay-for-performance programs in family practices in the United Kingdom.英国全科医疗中的绩效薪酬计划。
N Engl J Med. 2006 Jul 27;355(4):375-84. doi: 10.1056/NEJMsa055505.
2
Therapy modifications in response to poorly controlled hypertension, dyslipidemia, and diabetes mellitus.针对血压控制不佳、血脂异常和糖尿病的治疗调整。
Ann Intern Med. 2006 Apr 4;144(7):475-84. doi: 10.7326/0003-4819-144-7-200604040-00006.
3
Adherence to antihypertensive medication and association with patient and practice factors.抗高血压药物的依从性及其与患者和医疗实践因素的关联。
J Hum Hypertens. 2006 Apr;20(4):295-7. doi: 10.1038/sj.jhh.1001981.
4
Organisational factors in relation to control of blood pressure: an observational study.与血压控制相关的组织因素：一项观察性研究。
Br J Gen Pract. 2005 Dec;55(521):931-7.
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Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.计算机化临床决策支持系统对从业者表现和患者结局的影响：一项系统综述。
JAMA. 2005 Mar 9;293(10):1223-38. doi: 10.1001/jama.293.10.1223.
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A multimethod quality improvement intervention to improve preventive cardiovascular care: a cluster randomized trial.一项旨在改善心血管疾病预防护理的多方法质量改进干预措施：一项整群随机试验。
Ann Intern Med. 2004 Oct 5;141(7):523-32. doi: 10.7326/0003-4819-141-7-200410050-00008.
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Diabetes Care. 2004 May;27 Suppl 2:B54-60. doi: 10.2337/diacare.27.suppl_2.b54.
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J Hypertens. 2003 Sep;21(9):1753-9. doi: 10.1097/00004872-200309000-00026.