儿科医生进行的血铅检测：实践、态度及人口统计学特征
Blood lead testing by pediatricians: practice, attitudes, and demographics.
作者信息
Ferguson S C, Lieu T A
机构信息
University of California, Berkeley-University of California, San Francisco Joint Medical Program, USA.
出版信息
Am J Public Health. 1997 Aug;87(8):1349-51. doi: 10.2105/ajph.87.8.1349.
OBJECTIVES
This study aimed to evaluate adherence and identify ways to improve concordance between blood lead testing guidelines and practice.
METHODS
One hundred fifty-five pediatricians responded to a questionnaire assessing demographic, knowledge, and attitudinal factors relating to lead testing.
RESULTS
Only 27% of the respondents adhered to the guidelines, and less than half knew all of the answers to three factual questions about the recommendations. Adherence was higher among physicians who knew the guidelines, were more recently trained, or had high proportions of Medicaid or minority patients.
CONCLUSIONS
Physician education and financial incentives hold the most promise for increasing adherence to blood lead testing guidelines.
目的
本研究旨在评估依从性，并确定改善血铅检测指南与实践之间一致性的方法。
方法
155名儿科医生回答了一份调查问卷，该问卷评估了与铅检测相关的人口统计学、知识和态度因素。
结果
只有27%的受访者遵循指南，不到一半的人知道关于这些建议的三个事实性问题的所有答案。在了解指南、最近接受过培训或医疗补助患者或少数族裔患者比例较高的医生中，依从性更高。
结论
医生教育和经济激励措施在提高血铅检测指南的依从性方面最具前景。
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