McDowell I, Newell C, Rosser W
Health Care Research Unit, University of Ottawa, Ontario, Canada.
Fam Med. 1990 Jul-Aug;22(4):303-6.
Computers have been used in general practice to issue reminders to patients overdue for preventive procedures. Although effective, issuing reminders may be inconsistent with the belief that patients should take responsibility for their own health. To assess the effect of a reminder on subsequent use of influenza prevention services, this study examined the three-year immunization behavior of 1,175 patients 65 years or older who were part of a randomized controlled trial. During the middle year only, reminders were issued to patients in the experimental group. A comparison of immunization patterns over the three years in experimental and control groups indicated that the reminder both promoted independent action and engendered dependency on the reminder. The former, favorable effect was more frequent among younger patients; the latter, adverse effect was more common among older patients who visited the practice more frequently.
计算机已被应用于一般医疗实践中，向逾期未进行预防程序的患者发出提醒。虽然有效，但发出提醒可能与患者应自行负责自身健康的观念不一致。为了评估提醒对后续流感预防服务使用情况的影响，本研究调查了1175名65岁及以上参与随机对照试验患者的三年免疫行为。仅在中间一年，向实验组患者发出提醒。对实验组和对照组三年来免疫模式的比较表明，提醒既促进了独立行动，也产生了对提醒的依赖。前一种有利影响在年轻患者中更常见；后一种不利影响在就诊更频繁的老年患者中更普遍。
