Eastaugh S R, Hatcher M E
Med Care. 1982 Oct;20(10):1001-17. doi: 10.1097/00005650-198210000-00003.
Triage method based upon individual patient characteristics is developed to determine the most effective health education interventions for hypertensive patients. The sample included 402 patients randomly assigned to experimental and control groups. The efficacy of a triage process, whereby patients are subdivided into groups that are more predisposed to benefit from a given health education approach, is discussed. From a limited cost-benefit evaluation, it appears that the benefits of the triage method for achieving medication compliance clearly outweigh its costs only in the case of the highly depressed patients (24 per cent of the sample). Different levels of depression were found to be differentially responsive to different health education treatments for achieving adherence to medication. The most depressed patients were more responsive to family member reinforcement, a 156 per cent increase in the number of high compliers as compared to no intervention.
基于个体患者特征开发了分诊方法，以确定针对高血压患者最有效的健康教育干预措施。样本包括402名随机分配到实验组和对照组的患者。讨论了一种分诊过程的效果，即把患者细分为更倾向于从特定健康教育方法中受益的组。从有限的成本效益评估来看，似乎只有在高度抑郁的患者（占样本的24%）中，分诊方法在实现药物依从性方面的益处才明显超过其成本。发现不同程度的抑郁对实现药物依从性的不同健康教育治疗有不同的反应。最抑郁的患者对家庭成员强化更敏感，与无干预相比，高依从者数量增加了156%。
