Cohidon Christine, Selby Kevin, Cornuz Jacques, Gaspoz Jean-Michel, Senn Nicolas
Institut universitaire de médecine de famille, 1011 Lausanne.
Policlinique médicale universitaire, Université de Lausanne, 1011 Lausanne.
Rev Med Suisse. 2017 Jan 25;13(547):285-287.
Following an American and then international initiative, the Swiss Society of Internal Medicine launched the « Smarter Medicine » campaign in 2014 with five recommendations of activities to be avoided, focusing on low back pain, antibiotic prescriptions, pre-operative chest x-rays, prostate cancer screening and treatment with proton pump inhibitors. In 2016, 69 % of family physicians reported that they knew the recommendations and levels of agreement were very high. However, physicians reported differences between recommendations in how often they are followed in practice, and there remains room for improvement. We need to put in place training programs at the pre- and post-graduate levels, as well as continuing medical education. It would also be useful to educate patients.
在美国及随后的国际倡议推动下，瑞士内科医学协会于2014年发起了“更明智医疗”运动，提出了五项应避免开展的活动建议，重点关注腰痛、抗生素处方、术前胸部X光检查、前列腺癌筛查以及质子泵抑制剂治疗。2016年，69%的家庭医生表示他们知晓这些建议，且认同度非常高。然而，医生们报告称，在实际遵循建议的频率方面，各项建议之间存在差异，仍有改进空间。我们需要在研究生教育前和研究生教育阶段以及继续医学教育中实施培训项目。对患者进行教育也会很有帮助。
