Hoftvedt B O, Holm H A
Den norske laegeforening, Lysaker.
Tidsskr Nor Laegeforen. 1990 Mar 20;110(8):943-5.
In 1988 a group of Norwegian experts published a programme for treatment of patients with increased cholesterol. The programme recommended dietary counselling when plasma cholesterol exceeded 5 mmol/l. In the autumn 1988 the Norwegian National Health Association started a campaign on cholesterol for health personnel. In order to find out to what extent general practitioners adhered to the recommendations of the programme, a random sample of 100 general practitioners were sent a questionnaire before and after the campaign. The results showed no significant differences in the doctors' attitudes towards diagnosis and treatment of patients with increased plasma cholesterol. Both before and after the campaign the plasma cholesterol levels at which they would initiate follow-up, dietary counselling or drug therapy were 1-2 mmol/l above the levels recommended by the expert group. The attitude of the general practitioners was more conservative than the recommendations of the programme. The interval between the information meeting and the post study was only six months. It is a complicated process to change attitudes and practice routines, and the time required may be longer than six months. Furthermore, the recommendations of the programme were questioned by other doctors, which reduced its impact.
1988年，一群挪威专家发表了一项针对胆固醇升高患者的治疗方案。该方案建议，当血浆胆固醇超过5毫摩尔/升时进行饮食咨询。1988年秋，挪威国家卫生协会发起了一项面向卫生人员的胆固醇宣传活动。为了了解全科医生在多大程度上遵循该方案的建议，在活动前后向100名全科医生的随机样本发放了问卷。结果显示，医生对血浆胆固醇升高患者的诊断和治疗态度没有显著差异。在活动前后，他们开始进行随访、饮食咨询或药物治疗时的血浆胆固醇水平都比专家组建议的水平高1至2毫摩尔/升。全科医生的态度比该方案的建议更为保守。信息会议和研究后调查之间的间隔仅为六个月。改变态度和执业习惯是一个复杂的过程，所需时间可能超过六个月。此外，该方案的建议受到了其他医生的质疑，这降低了其影响力。
