Calkins D R, Rubenstein L V, Cleary P D, Davies A R, Jette A M, Fink A, Kosecoff J, Young R T, Brook R H, Delbanco T L
Division of General Internal Medicine, New England Deaconess Hospital, Boston, MA 02215.
J Gen Intern Med. 1994 Oct;9(10):590-2. doi: 10.1007/BF02599291.
The authors conducted a randomized controlled trial of functional disability screening in a hospital-based internal medicine group practice. They assigned 60 physicians and 497 of their patients to either an experimental or a control group. Every four months the patients in both groups completed a self-administered questionnaire measuring physical, psychological, and social function. The experimental group physicians received reports summarizing their patients' responses; the control group physicians received no report. At the end of one year the authors found no significant difference between the patients of the experimental and control group physicians on any measure of functional status. Functional disability screening alone does not improve patient function.
作者在一个以医院为基础的内科团体医疗实践中进行了一项关于功能残疾筛查的随机对照试验。他们将60名医生及其497名患者分为试验组或对照组。每四个月,两组患者都要完成一份自我管理的问卷,以测量身体、心理和社会功能。试验组的医生会收到总结其患者回答的报告;对照组的医生则没有收到报告。一年后,作者发现在任何功能状态指标上,试验组和对照组医生的患者之间没有显著差异。仅进行功能残疾筛查并不能改善患者功能。