Harwood K J, Nordin M, Heibert R, Weiser S, Brisson P M, Skovron M L, Lewis S
Columbia University, Program in Physical Therapy, New York, NY 10032, USA.
J Rehabil Res Dev. 1997 Oct;34(4):371-82.
We have developed an educational program to train industry-based physicians in a new low back pain assessment procedure based on the recommendation of The Clinical Practice Guidelines on Acute Low Back Pain Problems in Adults published by the Agency for Health Care Policy and Research, U.S. Department of Health and Human Services. The clinical classification system based on the findings from the Quebec Task Force was used to categorize the subjects. The educational program included group and individual sessions with an extensive period of active follow-up. Protocol compliance was measured through a computer-based surveillance system that monitored evaluation form completion. The results showed significant change (p < 0.001) in physician compliance in completing a standardized examination following an administrative mandate to change. Little change in clinical practice was recorded with an educational training program only. Further research into the factors responsible for the results is suggested.
我们根据美国卫生与公众服务部医疗保健政策与研究局发布的《成人急性下背痛问题临床实践指南》的建议，开发了一个教育项目，用于培训行业医生掌握一种新的下背痛评估程序。基于魁北克工作组研究结果的临床分类系统被用于对受试者进行分类。该教育项目包括小组和个人课程，并进行了长时间的积极随访。通过一个基于计算机的监测系统来衡量方案依从性，该系统监测评估表的填写情况。结果显示，在行政指令要求改变后，医生在完成标准化检查方面的依从性有显著变化（p < 0.001）。仅通过教育培训项目，临床实践几乎没有变化。建议对导致这些结果的因素进行进一步研究。
