Russek L, Wooden M, Ekedahl S, Bush A
Physiotherapy Associates, Glen Burnie, MD 21061, USA./
Phys Ther. 1997 Jul;77(7):714-29. doi: 10.1093/ptj/77.7.714.
Clinical databases will gain importance as physical therapists need to determine the effectiveness and justify the expense of treatment. Obstacles impeding participation in standardized data collection need to be identified and addressed to construct high-quality databases.
Subjects were clinicians involved in patient care in a multisite physical therapy/occupational therapy practice that had initiated a standardized data collection program.
Questionnaires, asking about participation in the data collection project, were distributed to participating clinics. Factor analysis identified attitudes toward standardized data collection. Relationships between efforts to learn standardized methods, attitudes, clinic and clinician characteristics, and levels of participation in the project were investigated.
Most respondents (66%) had made some effort to learn the standardized procedures. Five attitudes were identified: inconvenience, acceptance of operational definitions, automation, paperwork, and training.
Inconvenience of data collection and training in standardized methods need to be addressed to construct large, high-quality databases.
随着物理治疗师需要确定治疗效果并证明治疗费用的合理性，临床数据库的重要性将日益凸显。为了构建高质量的数据库，需要识别并解决阻碍参与标准化数据收集的障碍。
研究对象为参与多地点物理治疗/职业治疗实践中患者护理工作且已启动标准化数据收集项目的临床医生。
向参与的诊所发放问卷，询问其参与数据收集项目的情况。通过因子分析确定对标准化数据收集的态度。研究学习标准化方法的努力、态度、诊所和临床医生特征与项目参与程度之间的关系。
大多数受访者（66%）已做出一些努力来学习标准化程序。确定了五种态度：不便、接受操作定义、自动化、文书工作和培训。
为了构建大型、高质量的数据库，需要解决数据收集的不便之处以及标准化方法的培训问题。
