Winickoff R N, Coltin K L, Fleishman S J, Barnett G O
J Gen Intern Med. 1986 Mar-Apr;1(2):78-84. doi: 10.1007/BF02599804.
This project utilized an automated record system, COSTAR, to assess and improve the quality of care in managing syphilis in a health maintenance organization. A scoring tool was developed to assess care. There were four experimental periods, each lasting one year. The periods were Baseline (no intervention), Education (publication of guidelines and an educational session), Reminder (deficiencies in care brought to the attention of providers in time to permit correction), and Post-reminder (no intervention). Scores for overall management of syphilis rose from 70.4 to 90.5% during the Reminder period and did not deteriorate significantly in the Post-reminder period. Scores in the Education period were not significantly higher than baseline. The cost of the system was $195 per year. An inexpensive reminder system was effective in bringing about a significant improvement in quality of care for syphilis, and the effect persisted for at least a year after the system was discontinued.
该项目利用一个自动化记录系统COSTAR，来评估和改善一家健康维护组织中梅毒管理的护理质量。开发了一种评分工具来评估护理情况。共有四个实验阶段，每个阶段持续一年。这些阶段分别是基线期（无干预）、教育期（发布指南并举办一次教育会议）、提醒期（及时将护理缺陷告知提供者以便纠正）和提醒后期（无干预）。在提醒期，梅毒总体管理的评分从70.4%升至90.5%，在提醒后期没有显著下降。教育期的评分没有显著高于基线期。该系统每年的成本为195美元。一个低成本的提醒系统有效地使梅毒护理质量得到显著改善，并且在该系统停用后，这种效果至少持续了一年。
