Hill M N, Weisman C S
Johns Hopkins University School of Nursing.
Int J Technol Assess Health Care. 1991;7(1):30-41. doi: 10.1017/s0266462300004827.
In a pretest-posttest panel survey of 595 eligible Maryland physicians practicing family or general medicine, internal medicine, cardiology, or nephrology, perceptions of consensus reports designed to alter medical practice are examined. On a 7-point scale, physicians reported positive or neutral views of descriptors, most favorably rating credible (mean = 2.25) and reliable (mean = 2.41), and least favorably rating biased (mean = 3.79). In a regression analysis of factors influencing changes in practice behavior congruent with consensus recommendations before and 1 year after the release of a consensus report on hypertension (8), these perceptions were not significant determinants. The strongest predictor of congruent practice behavior a year after the report was published was congruent practice behavior just prior to the report's release, and the second strongest predictor was perceived influence of the report's sources/sponsors.
在一项针对595名符合条件的马里兰州从事家庭或普通医学、内科、心脏病学或肾脏病学的医生的前后测面板调查中，研究了旨在改变医疗实践的共识报告的认知情况。在7分制量表上，医生对描述词给出了积极或中性的看法，对“可信的”（均值 = 2.25）和“可靠的”（均值 = 2.41）评价最为有利，对“有偏见的”（均值 = 3.79）评价最不利。在一项关于高血压共识报告发布前及发布后1年与共识建议相符的实践行为变化影响因素的回归分析中，这些认知并非显著的决定因素。报告发布一年后与共识相符的实践行为的最强预测因素是报告发布前与共识相符的实践行为，第二强的预测因素是对报告来源/赞助者的感知影响力。
