Family practice residents' compliance with preventive medicine recommendations.
Family practice residents' compliance with preventive medicine recommendations.
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家庭医生遵守预防医学建议的情况。
DOI：
10.1016/s0749-3797(18)31189-9
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发表时间：
1988
影响因子：
5.5
通讯作者：
E. Morris
中科院分区：
文献类型：
--
作者：
P. Morris;E. Morris
我们对270名年龄在20岁或以上的随机抽取的患者进行了病历调查，这些患者是在大学培训项目中由家庭实习医生看到的。这项研究涉及居民对四个专家小组提出的某些预防建议的遵守情况：美国癌症协会、加拿大定期健康检查工作组、免疫实践咨询委员会和美国国立卫生研究院关于治疗高胆固醇的共识发展会议。研究的干预措施包括乳房检查、乳房X光检查、盆腔检查、巴氏试验、直肠指检、粪便愈创木片试验、血清胆固醇筛查以及肺炎球菌和流感疫苗接种。我们计算了接受每一种干预措施的合格患者的百分比。居民对健康筛查建议的遵从率最高的是20-34岁和35-59岁妇女的巴氏试验(分别为31.7%和22.6%)、20-39岁妇女的乳房检查(27.3%)和流感疫苗接种(23.0%)。没有其他合规率超过20%。因此，我们的数据表明，该计划中的居民没有很好地遵守健康维护建议。
We conducted a medical records survey of 270 randomly selected patients 20 years of age or older seen by family practice residents in a university-based training program. This study concerned residents’ compliance with certain preventive recommendations made by four expert groups: the American Cancer Society, the Canadian Task Force on the Periodic Health Examination, the Immunization Practices Advisory Committee, and the National Institutes of Health Consensus Development Conference on treating elevated cholesterol. The interventions studied were breast examination, mammography, pelvic examination, Pap testing, digital rectal examination, stool guaiac slide testing, serum cholesterol screening, and pneumococcal and influenza vaccinations. We calculated the percentage of eligible patients receiving each of these interventions. The highest rates of resident compliance with health screening recommendations were for Pap testing in women 20-34 and 35-59 years of age (31.7% and 22.6%, respectively), breast examination in women 20-39 years of age (27.3%), and influenza vaccination (23.0%). There were no other rates of compliance that exceeded 20%. Our data thus indicate that residents in this program did not comply well with health maintenance recommendations.