Shapiro S, German P S, Skinner E A, VonKorff M, Turner R W, Klein L E, Teitelbaum M L, Kramer M, Burke J D, Burns B J
Health Services Research and Development Center, Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.
Med Care. 1987 Apr;25(4):327-39. doi: 10.1097/00005650-198704000-00006.
A randomized clinical trial was conducted in a group practice for the primary care of adult patients to address the effect of feedback to providers of information from a psychiatric screening questionnaire, the General Health Questionnaire (GHQ). The practice is staffed by faculty, residents, and health care extenders of The Johns Hopkins University School of Medicine's Division of Internal Medicine. The patient population was drawn mainly from the inner city community in Baltimore that surrounds the hospital, where the practice is physically based. The GHQ was administered at the time of a regular visit to the practice and results made available to the clinicians for randomly allocated subsamples of their patients. The study results showed that feedback of GHQ information led to only marginal effects on overall detection of mental health problems among the patients in general. However, marked increases in detection occurred among the elderly, blacks, and men, subgroups that ordinarily have relatively low rates of detection of mental morbidity by primary care practitioners. Feedback of GHQ information did not affect management.
在一个为成年患者提供初级保健的团体诊所中进行了一项随机临床试验，以探讨向医疗服务提供者反馈来自精神科筛查问卷《一般健康问卷》（GHQ）的信息所产生的影响。该诊所的工作人员包括约翰·霍普金斯大学医学院内科分部的教员、住院医师和医疗保健扩展人员。患者群体主要来自医院周边巴尔的摩市中心城区社区，诊所就设在该社区。在患者定期就诊时发放GHQ问卷，并将结果提供给临床医生，供他们随机抽取的部分患者参考。研究结果表明，反馈GHQ信息对总体上检测患者心理健康问题仅有微弱影响。然而，在老年人、黑人和男性这些亚组中，检测率显著提高，而初级保健医生通常对这些亚组中精神疾病的检出率相对较低。反馈GHQ信息并未影响治疗管理。
