University of Minnesota, Minneapolis, MN 45229, USA.
Eval Health Prof. 2011 Sep;34(3):309-35. doi: 10.1177/0163278710392981. Epub 2010 Dec 21.
Using a case study analysis of the Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Treatment of Asthma, this article compares the workflows and knowledge requirements of primary care practice to the structure and content of a well-respected set of clinical guidelines. The authors show that there are discrepancies between physician workflow and the structure of the EPR-3, as well as between physicians' knowledge requirements and the content of the EPR-3. The analysis suggests that closing the gap between medical knowledge and practice will require alternative ways to represent guidelines' knowledge and recommendations.
本文通过对专家小组报告 3（EPR-3）：哮喘诊断和治疗指南的案例研究分析，将初级保健实践的工作流程和知识要求与一组备受推崇的临床指南的结构和内容进行了比较。作者表明，医生的工作流程与 EPR-3 的结构之间存在差异，医生的知识要求与 EPR-3 的内容之间也存在差异。分析表明，要缩小医学知识与实践之间的差距，就需要用替代方法来表示指南的知识和建议。
