Quality of Care NL, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
Primary Healthcare Research Unit, Faculty of Medicine, Memorial University, St. John's, NL, Canada.
Methods Mol Biol. 2021;2249:613-630. doi: 10.1007/978-1-0716-1138-8_33.
In many countries, there is a large amount of public money spent on health care. Some patient tests and treatments are not only unnecessary but also may be harmful, leading health researchers to look for the most effective interventions to change physician behaviour. The purpose of this chapter is to describe some of the interventions used to modify physician behaviour and highlight their challenges observed in a Canadian provincial context. We begin with a brief description of the increasing interest in behaviour change interventions in recent years and their theoretical basis. We then describe several interventions used to change physician behaviour ranging from nudges to choice restriction and the available evidence on their effectiveness. We provide examples of interventions and their challenges as we've experienced them in our research program, Quality of Care NL. We conclude with a summary of what the evidence tells us about interventions to change physicians' behaviours.
在许多国家，都有大量的公共资金用于医疗保健。一些患者的检查和治疗不仅没有必要，而且可能有害，这促使健康研究人员寻找最有效的干预措施来改变医生的行为。本章的目的是描述一些用于改变医生行为的干预措施，并突出其在加拿大省级背景下观察到的挑战。我们首先简要描述近年来对行为改变干预措施的日益关注及其理论基础。然后，我们描述了几种用于改变医生行为的干预措施，从推动到选择限制，并提供了关于其有效性的现有证据。我们提供了干预措施的例子及其在我们的研究项目“质量关怀 NL”中遇到的挑战。最后，我们总结了干预措施改变医生行为的证据告诉了我们什么。
