计算机辅助提醒系统对患者遵守推荐的健康维护程序的影响。
The effects of a computer-assisted reminder system on patient compliance with recommended health maintenance procedures.
作者信息
Vincent E C, Hardin P A, Norman L A, Lester E A, Stinton S H
机构信息
Swedish Hospital, Seattle, WA, USA.
出版信息
Proc Annu Symp Comput Appl Med Care. 1995:656-60.
In June of 1993 we implemented a computer-assisted reminder system in the outpatient clinic of an 18 resident family practice training program. The system notifies both patients and physicians of recommended health maintenance procedures. In the 22 months following implementation we documented a rapid increase in physician and patient compliance with several disease screening and prevention services. Despite high physician compliance, we were unable to increase patient compliance rates above 70% for any procedure. At the end of the study period patient compliance varied from a low of 26.7% for sigmoidoscopy to a high of 61.7% for pneumococcal pneumonia vaccination. We feel this study has important implications for the US Public Health Service's preventive services screening goals for the year 2000.
1993年6月，我们在一个有18名住院医师的家庭医疗培训项目的门诊实施了计算机辅助提醒系统。该系统会将推荐的健康维护程序通知患者和医生。在实施后的22个月里，我们记录到医生和患者对几种疾病筛查及预防服务的依从性迅速提高。尽管医生的依从性很高，但我们无法将任何一项程序的患者依从率提高到70%以上。在研究期结束时，患者的依从率差异很大，乙状结肠镜检查的依从率低至26.7%，肺炎球菌肺炎疫苗接种的依从率高至61.7%。我们认为这项研究对美国公共卫生服务局2000年的预防性服务筛查目标具有重要意义。
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