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本文引用的文献

1
Imaging studies for low back pain.腰痛的影像学检查
J Pain Palliat Care Pharmacother. 2008;22(4):306-11. doi: 10.1080/15360280802537332.
2
The UTAH VBAC Study.犹他州子宫下段剖宫产术后阴道分娩研究
Matern Child Health J. 2005 Jun;9(2):181-8. doi: 10.1007/s10995-005-4907-1.
3
Five years after To Err Is Human: what have we learned?《人非圣贤,孰能无过》出版五年后:我们学到了什么?
JAMA. 2005 May 18;293(19):2384-90. doi: 10.1001/jama.293.19.2384.
4
Systematic review: the relationship between clinical experience and quality of health care.系统评价:临床经验与医疗质量之间的关系
Ann Intern Med. 2005 Feb 15;142(4):260-73. doi: 10.7326/0003-4819-142-4-200502150-00008.
5
The promises and pitfalls of evidence-based medicine.循证医学的前景与陷阱。
Health Aff (Millwood). 2005 Jan-Feb;24(1):18-28. doi: 10.1377/hlthaff.24.1.18.
6
Clinical pathway care improves outcomes among patients hospitalized for community-acquired pneumonia.临床路径护理可改善社区获得性肺炎住院患者的治疗结果。
Ann Epidemiol. 2004 Oct;14(9):669-75. doi: 10.1016/j.annepidem.2004.01.003.
7
Pediatricians' self-reported clinical practices and adherence to national immunization guidelines after the introduction of pneumococcal conjugate vaccine.引入肺炎球菌结合疫苗后儿科医生自我报告的临床实践及对国家免疫指南的遵守情况。
Arch Pediatr Adolesc Med. 2004 Jul;158(7):695-701. doi: 10.1001/archpedi.158.7.695.
8
Predicting physician guideline compliance: an assessment of motivators and perceived barriers.预测医生对指南的依从性:对动机和感知障碍的评估。
Am J Manag Care. 2004 Jun;10(6):383-91.
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Care concordant with guidelines predicts decreased long-term mortality in patients with unstable angina pectoris and non-ST-elevation myocardial infarction.与指南相符的治疗可预测不稳定型心绞痛和非ST段抬高型心肌梗死患者的长期死亡率降低。
Am J Cardiol. 2004 May 15;93(10):1218-22. doi: 10.1016/j.amjcard.2004.01.063.
10
Family physicians' opinions and attitudes to three clinical practice guidelines.家庭医生对三项临床实践指南的意见和态度。
J Am Board Fam Pract. 2004 Mar-Apr;17(2):150-7. doi: 10.3122/jabfm.17.2.150.

医生特征与循证实践指南的报告效果

Physician characteristics and the reported effect of evidence-based practice guidelines.

作者信息

Sammer Christine E, Lykens Kristine, Singh Karan P

机构信息

633 Cardinal Ridge, Burleson, TX 76028, USA.

出版信息

Health Serv Res. 2008 Apr;43(2):569-81. doi: 10.1111/j.1475-6773.2007.00788.x.

DOI:10.1111/j.1475-6773.2007.00788.x
PMID:18484106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2442364/
Abstract

OBJECTIVE

To explore characteristics that may contribute to the effect practice guidelines have on the practice of medicine.

DATA SOURCES

From the third round of the Community Tracking Study, Physician Survey, 2000-2001.

STUDY DESIGN

An ordinal logistic regression model was estimated to capture the full range of responses.

PRINCIPAL FINDINGS

Recent medical school graduates, women, minorities, ob-gyn specialists, physicians who use computers for information in their practices, and physicians in nonsolo practice types were significantly more likely to state practice guidelines had an effect on their practice.

CONCLUSIONS

Many barriers have prevented wide acceptance of practice guidelines among the medical community. Our findings suggest there will be positive results on guideline effects as recent graduates, women, and minorities enter the physician workforce.

摘要

目的

探讨可能影响实践指南对医疗实践产生作用的特征。

数据来源

来自2000 - 2001年社区追踪研究第三轮的医生调查。

研究设计

估计一个有序逻辑回归模型以获取完整的反应范围。

主要发现

刚毕业的医学院学生、女性、少数族裔、妇产科专科医生、在实践中使用计算机获取信息的医生以及非单人执业类型的医生更有可能表示实践指南对他们的实践有影响。

结论

许多障碍阻碍了实践指南在医学界的广泛接受。我们的研究结果表明,随着刚毕业的学生、女性和少数族裔进入医生队伍,指南的效果将会产生积极结果。