Yellowitz J A, Goodman H S, Horowitz A M, al-Tannir M A
Department of Oral Health Care Delivery, University of Maryland, Baltimore School of Dental Surgery, 21201, USA.
J Dent Educ. 1995 Dec;59(12):1091-6.
Health history forms are an integral component of students' clinical and didactic training in physical assessment and often serve as a model for students to use in their future practices. This study examined how alcohol and tobacco use are assessed in patient health history forms used in the dental schools of the United States and Canada (n = 63). Deans of schools were requested to send a copy of their health history and other supplemental forms used for patient care. The response rate was 98 percent. Almost 25 percent of the schools' forms did not address either alcohol or tobacco use; 37 percent failed to address one or both risk behaviors; 25 percent did not request tobacco information; and 36 percent did not address alcohol use. Major inconsistencies regarding the inclusion, content, and quantity of alcohol and tobacco questions were noted. Consensus among dental schools as to which questions to include in their health forms was not apparent.
健康史表格是学生身体评估临床和理论培训中不可或缺的组成部分，并且常常作为学生未来执业时使用的模板。本研究调查了美国和加拿大牙科学院（共63所）用于患者健康史表格中对酒精和烟草使用情况的评估方式。研究要求各学校的院长发送一份他们用于患者护理的健康史表格及其他补充表格。回复率为98%。几乎25%的学校表格未涉及酒精或烟草使用情况；37%的表格未提及一种或两种风险行为；25%的表格未询问烟草信息；36%的表格未涉及酒精使用情况。在酒精和烟草问题的纳入、内容及数量方面存在重大不一致。牙科学院对于在其健康表格中应包含哪些问题并未达成明显共识。
