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利用认知与现实的差距来改变处方模式。

Using the perception-reality gap to alter prescribing patterns.

作者信息

Rosser W W

出版信息

J Med Educ. 1983 Sep;58(9):728-32. doi: 10.1097/00001888-198309000-00008.

DOI:10.1097/00001888-198309000-00008
PMID:6887218
Abstract

Thirty physicians in a university family medicine teaching practice were asked to estimate their rate of prescribing diazepam to six age/sex groupings of patients within their practice. Their actual prescribing rates as recorded by a computerized data collection system were not accurately perceived. After the physicians were informed of the gap between perceived and actual prescribing, significant changes in prescribing behavior occurred. Awareness of a perception-reality gap in primary care practice prescribing offers a method of continuing medical education that may significantly alter prescribing behavior in ways beneficial to patient care.

摘要

一所大学家庭医学教学机构的30名医生被要求估算他们在执业过程中为六个年龄/性别分组的患者开具地西泮的比例。计算机化数据收集系统记录的他们实际的开药比例并未被准确感知。在医生们得知感知到的和实际的开药情况之间的差距后,开药行为发生了显著变化。意识到初级医疗实践开药中存在的感知与现实差距,提供了一种继续医学教育的方法,这种方法可能会以有利于患者护理的方式显著改变开药行为。

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Qual Health Care. 1992 Sep;1(3):184-91. doi: 10.1136/qshc.1.3.184.
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Implementing guidelines and innovations in general practice: which interventions are effective?在全科医疗中实施指南与创新:哪些干预措施是有效的?
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