Kleinstein R N, Gordon A, Wayne J, Charles E
Public Health Rep. 1985 Jul-Aug;100(4):364-8.
All 319 participants of an intensive continuing education course on optometric hypertension screening at the University of Alabama at Birmingham were surveyed 5 years after completion of the course. Almost 85 percent of 211 responding optometrists reported that they were continuing to screen for hypertension in their practices. They estimated that 24 percent of their patients had hypertension and that of these 11 percent were previously undetected. The criteria used by these optometrists for tentative diagnosis and referral were consistent with currently accepted guidelines. Hypertension screening by optometrists is cost-effective, and this survey suggests that continuing education courses providing intensive didactic and clinical instruction may be an effective method for changing clinicians' behavior. For most optometrists who participated in this continuing education program, the program appears to have positively changed their clinical behavior.
对参加阿拉巴马大学伯明翰分校验光性高血压筛查强化继续教育课程的所有319名参与者，在课程结束5年后进行了调查。在211名做出回应的验光师中，近85%报告称他们仍在其业务中继续进行高血压筛查。他们估计其患者中有24%患有高血压，其中11%此前未被检测出。这些验光师用于初步诊断和转诊的标准与目前公认的指南一致。验光师进行高血压筛查具有成本效益，并且这项调查表明，提供强化理论与临床指导的继续教育课程可能是改变临床医生行为的一种有效方法。对于大多数参加这个继续教育项目的验光师来说，该项目似乎已积极改变了他们的临床行为。
