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.
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。
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