Edgar Michael, Howitt Scott, DeGraauw Chris, Hogg-Johnson Sheilah
Canadian Memorial Chiropractic College.
J Can Chiropr Assoc. 2022 Apr;66(1):61-73.
We set out to identify factors associated with recording of exercise minutes per week in electronic patient files at chiropractic teaching clinics to better understand whether this important health determinant - exercise vital sign (EVS) - is captured or not.
Patient files (4018) from 23 clinicians eligible for inclusion underwent multilevel logistic regression modeling to explore the association between a recorded EVS and the following: patients' age, sex, comorbidities and interns nested within clinicians.
EVS discussion was documented in 81.2% of patient files, whereas 44.9% had exercise minutes recorded numerically. Clinicians and interns explained 1.7% and 25.5% of the variance in the EVS outcome.
To enhance EVS recording, clinic directors and clinicians should better educate the interns on the importance of exercise is medicine and appropriate record keeping, as they explained the largest portion of variability in recording exercise in minutes per week.
我们着手确定与脊椎按摩疗法教学诊所电子患者档案中每周运动分钟数记录相关的因素，以便更好地了解这一重要的健康决定因素——运动生命体征（EVS）——是否被记录。
对来自23名符合纳入条件的临床医生的4018份患者档案进行多水平逻辑回归建模，以探讨记录的EVS与以下因素之间的关联：患者的年龄、性别、合并症以及嵌套在临床医生中的实习生。
81.2%的患者档案中有EVS讨论记录，而44.9%的档案中有以数字形式记录的运动分钟数。临床医生和实习生分别解释了EVS结果中1.7%和25.5%的变异。
为了加强EVS记录，诊所主任和临床医生应更好地教育实习生运动即医学的重要性以及妥善保存记录，因为他们解释了每周运动分钟数记录中最大部分的变异性。
