Comninellis N B, Harper D M
Department of Community and Family Medicine, University of Missouri-Kansas City, USA.
Fam Med. 1997 Feb;29(2):112-4.
Clinical prevention is an important component of primary care, but its delivery remains deficient. This study determined the effect of a comprehensive preventive medicine curriculum, in combination with use of a prevention flow sheet, on community and family medicine residents' performance of 16 recommended clinical preventive services.
A retrospective study was done to document preventive services based on chart reviews of 240 clinic patients for the year prior to intervention initiation and the first year following the intervention.
Chi-square analysis revealed a significant increase in the delivery of 12 out of 15 recommended clinical preventive services after the intervention.
Implementation of comprehensive preventive medicine curricula, in combination with use of a clinical prevention flow sheet, is associated with an increase in preventive care offered to patients by community and family medicine residents.
临床预防是初级保健的重要组成部分，但其实施情况仍然欠佳。本研究确定了综合预防医学课程结合使用预防流程表对社区和家庭医学住院医师提供16项推荐临床预防服务的影响。
进行了一项回顾性研究，通过对干预开始前一年和干预后第一年的240例门诊患者的病历审查来记录预防服务。
卡方分析显示，干预后15项推荐临床预防服务中有12项的提供情况有显著增加。
实施综合预防医学课程并结合使用临床预防流程表，与社区和家庭医学住院医师为患者提供的预防保健增加有关。
