AWARENESS, USE, AND IMPACT OF THE 1984 JOINT NATIONAL COMMITTEE CONSENSUS REPORT ON HIGH BLOOD-PRESSURE
AWARENESS, USE, AND IMPACT OF THE 1984 JOINT NATIONAL COMMITTEE CONSENSUS REPORT ON HIGH BLOOD-PRESSURE
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DOI：
10.2105/ajph.78.9.1190
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发表时间：
1988-09-01
影响因子：
12.7
通讯作者：
WHELTON, PK
中科院分区：
文献类型：
--
作者：
HILL, MN;LEVINE, DM;WHELTON, PK
随机抽取马里兰州的内科医生，按专业（家庭、普通科、内科、心脏科和肾脏科）分层，在1984年第三届全国联合委员会高血压检测、评估和治疗报告（JNC III报告）发布前和发布后一年进行调查。合格样本总数的44%对两份调查表都作了答复。发表一年后，62%的参与研究的医生都知道这份报告。虽然副本的可用性（58%），对建议的熟悉程度（81%）以及护理基于指南的程度（65%）很高，但在实践中使用报告（17%）和遵守指南所需的实践行为变化量（18%）很低。在报告发表之前，超过三分之二的回应医生被发现以与研究的十个治疗建议中的九个一致的方式执业。在JNC III发布一年后，他们报告的练习行为没有显着差异。看来，这份共识报告编纂，而不是改变，在这个样本中的实践行为。
A random sample of Maryland physicians stratified by practice specialty (family, general, internal medicine, cardiology, and nephrology) was surveyed befor and one year after dissemination of the 1984 Report of the Third Joint National Committee on the Detecton, Evaluation, and Treatment of High Blood Pressure (The JNC III Report). Fourty-four per cent of the total eligible sample responded to both questionnaires. One year after publication, 62 per cent of physicians participating in both parts of the study were aware of the report. Although availability of a copy (58 per cent), familiarity with the recommendations (81 per cent), and the extent to which care was based on the guidelines (65 per cent) were high, use of the report in practice (17 per cent) and the amount of change in practice behavior required to adhere to the guidelines (18 per cent) were low. Prior to publication of the report, more than two-thirds of responding physicians were found to be practicing in a manner congruent with nine of ten treatment recommendations studied. One year after JNC III''s release, they reported practice behavior which was not significantly different. It seems that this consensus report codified, rather than changed, practice behavior in this sample.