Collins S, Beilby J, Fardy J, Burgess T, Johns R, Booth B
Quality Assurance and Continuing Education Program, Royal Australian College of General Practitioners, Forest Lodge, NSW.
Aust Fam Physician. 1998 Oct;27(10):907-13.
This pilot study was undertaken to assess the need and acceptability of a theoretically based audit model to assist GPs improve their asthma care.
Seventeen GPs from two GP divisions conducted a chart audit and patient survey of asthma patients presenting during the 8 week audit period. Audit results were discussed at a workshop providing a forum for GP peer groups to review their asthma care against current guidelines. This workshop allowed the GPs to develop strategies to improve their asthma care in the context of the resources of their individual practice, GP division, local community and health services.
Of the 243 asthma patients audited 177 (72.8%) had a review of their asthma recorded in the past 12 months, 138 (56.8%) were prescribed regular preventive therapy and 118 (48.2%) had been given an asthma action plan. Despite the time commitment required to participate in the activity, 16 respondents who answered the audit evaluation questionnaire reported that the audit was a useful process and 15 (93.8%) stated that it had motivated them to change their practice.
The results confirmed the need for improved asthma care in general practice and demonstrated the feasibility of the GP-peer led, regionally coordinated, audit-workshop model.
开展这项初步研究以评估一种基于理论的审核模式的必要性和可接受性，该模式旨在协助全科医生改善哮喘护理。
来自两个全科医生部门的17名全科医生对在为期8周的审核期间前来就诊的哮喘患者进行了病历审核和患者调查。审核结果在一个研讨会上进行了讨论，该研讨会为全科医生同行小组提供了一个论坛，以便对照现行指南审查他们的哮喘护理情况。这次研讨会使全科医生能够根据各自诊所、全科医生部门、当地社区和卫生服务机构的资源制定改善哮喘护理的策略。
在接受审核的243名哮喘患者中，177名（72.8%）在过去12个月中有哮喘复查记录，138名（56.8%）接受了定期预防性治疗，118名（48.2%）获得了哮喘行动计划。尽管参与该活动需要投入时间，但回答审核评估问卷的16名受访者表示，审核是一个有用的过程，15名（93.8%）表示这促使他们改变了做法。
结果证实了在全科医疗中改善哮喘护理的必要性，并证明了由全科医生同行主导、区域协调的审核-研讨会模式的可行性。
