Morris P D, Morris E R
Department of Family Practice, University of Texas Health Science Center, San Antonio.
Am J Prev Med. 1988 May-Jun;4(3):161-5.
We conducted a medical records survey of 270 randomly selected patients 20 years of age or older seen by family practice residents in a university-based training program. This study concerned residents' compliance with certain preventive recommendations made by four expert groups: the American Cancer Society, the Canadian Task Force on the Periodic Health Examination, the Immunization Practices Advisory Committee, and the National Institutes of Health Consensus Development Conference on treating elevated cholesterol. The interventions studied were breast examination, mammography, pelvic examination, Pap testing, digital rectal examination, stool guaiac slide testing, serum cholesterol screening, and pneumococcal and influenza vaccinations. We calculated the percentage of eligible patients receiving each of these interventions. The highest rates of resident compliance with health screening recommendations were for Pap testing in women 20-34 and 35-59 years of age (31.7% and 22.6%, respectively), breast examination in women 20-39 years of age (27.3%), and influenza vaccination (23.0%). There were no other rates of compliance that exceeded 20%. Our data thus indicate that residents in this program did not comply well with health maintenance recommendations.
我们对一所大学培训项目中家庭医学住院医师诊治的270名随机选取的20岁及以上患者进行了病历调查。本研究关注住院医师对四个专家组提出的某些预防性建议的依从性：美国癌症协会、加拿大定期健康检查特别工作组、免疫实践咨询委员会以及国立卫生研究院关于治疗高胆固醇的共识发展会议。所研究的干预措施包括乳房检查、乳房X光检查、盆腔检查、巴氏试验、直肠指检、粪便隐血玻片检查、血清胆固醇筛查以及肺炎球菌和流感疫苗接种。我们计算了接受每项干预措施的符合条件患者的百分比。住院医师对健康筛查建议依从率最高的是20 - 34岁和35 - 59岁女性的巴氏试验（分别为31.7%和22.6%）、20 - 39岁女性的乳房检查（27.3%）以及流感疫苗接种（23.0%）。没有其他依从率超过20%。因此，我们的数据表明该项目中的住院医师对健康维护建议的依从性不佳。
