McKinlay W J, Barnes P C
J R Coll Gen Pract. 1987 Sep;37(302):395-6.
An ambulatory electrocardiographic monitoring system was made available to a group of 10 general practitioners in one health centre and the use of the service was studied over a period of 12 months. The participating doctors were asked to assess the value of the reports received and to indicate any effect on patient management. Over the year 77 recordings were made for 73 patients and among the 69 technically satisfactory recordings 10 abnormalities were detected. A considerable variation in the use of the service by the doctors was detected but overall they appeared to find the reports received helpful. The management of 48 of the patients was changed as a result of the investigation. Results from a two-year follow-up period suggested a steady request rate for recordings of approximately two requests per 1000 patients per year. The detection rate of abnormalities following recording was 11% for the three years combined. Such a system has a valuable place in the management of some patients.
一家健康中心为10名全科医生提供了动态心电图监测系统，并在12个月的时间里对该服务的使用情况进行了研究。参与研究的医生被要求评估所收到报告的价值，并指出其对患者管理的任何影响。在这一年中，为73名患者进行了77次记录，在69份技术上令人满意的记录中检测到10例异常。研究发现医生对该服务的使用存在很大差异，但总体而言，他们似乎认为收到的报告很有帮助。调查结果导致48名患者的治疗方案发生了改变。两年随访期的结果表明，记录的稳定需求率约为每年每1000名患者提出两份申请。三年综合记录后的异常检出率为11%。这样的系统在某些患者的管理中具有重要地位。
