Phased trial of a proven algorithm at a new primary care clinic.
Phased trial of a proven algorithm at a new primary care clinic.
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在一家新的初级保健诊所对经过验证的算法进行分阶段试验。
DOI：
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发表时间：
1982
影响因子：
12.7
通讯作者：
R. K. Tompkins
中科院分区：
文献类型：
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作者：
J. Christensen;P. Diehr;R. Wood;R. K. Tompkins
先前的一项研究表明，由清单、一组指令（逻辑）和计算机审核/反馈组成的呼吸系统疾病临床算法可以显着降低成本，同时保持高质量的护理。这项研究的结果表明，在一个初级保健诊所开发和验证的算法系统可以成功导入到另一个初级保健诊所。在本研究中，算法系统显着提高了医疗记录的完整性，将医学检查的使用减少了 20%-75%，并将每次患者就诊的非提供者成本降低了 36%。这项研究还表明，算法系统的所有三个组成部分似乎对于实现这些改进和保持高质量的医疗护理都是必要的。这些结果表明，更广泛地使用算法系统来解决轻微的急性医疗问题对于提供可审计的高质量、具有成本效益的护理来说既可行又有用。
A previous study showed that a clinical algorithm for respiratory illnesses, consisting of a checklist, a set of instructions (logic), and computer audit/feedback, could reduce costs significantly while maintaining a high quality of care. The results of this study show that the algorithm system, developed and validated at one primary care clinic, can be successfully imported to another primary care clinic. In the present study, the algorithm system significantly improved the completeness of the medical records, reduced the use of medical tests by 20 per cent-75 per cent, and reduced non-provider costs by 36 per cent per patient visit. This study also shows that all three components of the algorithm system appear to be necessary to achieve these improvements and maintain a high quality of medical care. These results suggest that a wider use of the algorithm system for minor acute medical problems is both feasible and useful in providing high-quality cost-effective care that is auditable.