临床实践中的观察性研究的病例研究。
Card studies for observational research in practice.
机构信息
Department of Family Medicine, University of Colorado, Denver School of Medicine, Aurora, CO, USA.
出版信息
Ann Fam Med. 2011 Jan-Feb;9(1):63-8. doi: 10.1370/afm.1199.
Abstract
PURPOSE
Observational studies that collect patient-level survey data at the point-of-care are often called card studies. Card studies have been used to describe clinical problems, management, and outcomes in primary care for more than 30 years. In this article we describe 2 types of card studies and the methods for conducting them.
METHODS
We undertook a descriptive review of card studies conducted in 3 Colorado practice-based research networks and several other networks throughout the United States. We summarized experiences of the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP).
RESULTS
Card studies can be designed to study specific conditions or care (clinicians complete a card when they encounter patients who meet inclusion criteria) and to determine trends and prevalence of conditions (clinicians complete a card on all patients seen during a period). Data can be collected from clinicians and patients and can be linked.
CONCLUSIONS
Card studies provide cross-sectional descriptive data about clinical care, knowledge and behavior, perception of care, and prevalence of conditions. Card studies remain a robust method for describing primary care.
摘要
目的
在护理点收集患者层面调查数据的观察性研究通常被称为卡片研究。卡片研究已经被用于描述 30 多年来初级保健中的临床问题、管理和结果。在本文中，我们描述了两种卡片研究类型及其实施方法。
方法
我们对科罗拉多州三个基于实践的研究网络以及美国其他几个网络中进行的卡片研究进行了描述性回顾。我们总结了科罗拉多州门诊实践和合作伙伴网络（SNOCAP）的经验。
结果
卡片研究可以设计为研究特定的疾病或治疗方法（当医生遇到符合纳入标准的患者时，他们会填写卡片），也可以确定疾病的趋势和流行率（医生在特定时间段内为所有就诊患者填写卡片）。数据可以从医生和患者收集，并可以进行关联。
结论
卡片研究提供了关于临床护理、知识和行为、护理感知以及疾病流行率的横断面描述性数据。卡片研究仍然是描述初级保健的有力方法。
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