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本文引用的文献

1
Changing preventive practice: a controlled trial on the effects of outreach visits to organise prevention of cardiovascular disease.改变预防措施：一项关于组织心血管疾病预防的外展访问效果的对照试验。
Qual Health Care. 1997 Mar;6(1):19-24. doi: 10.1136/qshc.6.1.19.
2
Barriers to preventive care in general practice: the role of organizational and attitudinal factors.全科医疗中预防性保健的障碍：组织因素和态度因素的作用。
Br J Gen Pract. 1997 Nov;47(424):711-4.
3
List size, screening methods, and other characteristics of practices in relation to preventive care.与预防保健相关的医疗机构的规模、筛查方法及其他特征。
Br Med J (Clin Res Ed). 1985 Sep 28;291(6499):869-72. doi: 10.1136/bmj.291.6499.869.
4
Promoting prevention in primary care: controlled trial of low technology, low cost approach.在初级保健中促进预防：低技术、低成本方法的对照试验
Br Med J (Clin Res Ed). 1987 Apr 25;294(6579):1080-2. doi: 10.1136/bmj.294.6579.1080.
5
Preventive cardiology: what lies ahead?
Prev Med. 1990 Jan;19(1):97-104. doi: 10.1016/0091-7435(90)90012-9.
6
Preventive cardiology in general practice: computer-assisted hypertension care.
J Hum Hypertens. 1990 Aug;4(4):365-7.
7
Preventive medicine in primary care. Moving from theory to practice.基层医疗中的预防医学。从理论到实践。
Postgrad Med. 1991 Sep 1;90(3):125-8. doi: 10.1080/00325481.1991.11701038.
8
Two stage audit of cerebrovascular and coronary heart disease risk factor recording: the effect of case finding and screening programmes.脑血管病和冠心病危险因素记录的两阶段审核：病例发现与筛查项目的效果
Br J Gen Pract. 1991 Apr;41(345):144-6.

全科医疗中实践组织与心血管危险因素记录之间的关系。

Relationship between practice organization and cardiovascular risk factor recording in general practice.

作者信息

van Drenth B B, Hulscher M E, van der Wouden J C, Mokkink H G, Van Weel C, Grol R P

机构信息

Centre for Quality of Care Research, University of Nijmegen, The Netherlands.

出版信息

Br J Gen Pract. 1998 Mar;48(428):1054-8.

PMID:9624746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1410003/
Abstract

BACKGROUND

Research findings suggest that the level of cardiovascular risk factor recording in general practice is not yet optimal. Several studies indicate a relation between the organization of cardiovascular disease prevention at practice level and cardiovascular risk factor recording.

AIM

To explore the relation between the organization of cardiovascular disease prevention and risk factor recording in general practice.

METHOD

A cross-sectional study was conducted using data on adherence to selected practice guidelines and on cardiovascular risk factor recording from 95 general practices. Practice guidelines were developed beforehand in a consensus procedure. Adherence was assessed by means of a questionnaire and practice observations. Risk factor recording was assessed by an audit of 50 medical records per practice.

RESULTS

Factor analysis of risk factor recording revealed three dimensions explaining 76% of the variance: recording of health-related behaviour, recording of clinical parameters, and recording of medical background parameters. Adherence to the guideline 'proactively invite patients to attend for assessment of cardiovascular risk' was related to a higher recording level in all three dimensions. Practice characteristics did not show a consistent relationship to the level of risk factor recording.

CONCLUSION

This study indicates that the presence of a system of proactive invitation was related to the recording of cardiovascular risk factors in medical records in general practice.

摘要

背景

研究结果表明，全科医疗中心血管危险因素的记录水平尚未达到最佳状态。多项研究表明，实践层面心血管疾病预防的组织与心血管危险因素记录之间存在关联。

目的

探讨全科医疗中心血管疾病预防的组织与危险因素记录之间的关系。

方法

采用横断面研究，使用来自95家全科诊所的关于遵循选定实践指南和心血管危险因素记录的数据。实践指南是通过共识程序预先制定的。通过问卷调查和实践观察来评估遵循情况。通过对每家诊所50份病历的审核来评估危险因素记录情况。

结果

危险因素记录的因子分析揭示了三个维度，解释了76%的方差：健康相关行为记录、临床参数记录和医学背景参数记录。遵循“主动邀请患者进行心血管风险评估”这一指南与所有三个维度的更高记录水平相关。实践特征与危险因素记录水平未显示出一致的关系。

结论

本研究表明，主动邀请系统的存在与全科医疗中病历中心血管危险因素的记录相关。