TRIAL TO IMPROVE RESIDENTS PRIMARY CARE IN AN HMO

在过去的十年里，医学教育已经转向了门诊 布景。这一转变伴随着生产更多初级产品的迫切需要 护理医生，导致了更多的门诊初级保健 由驻院医生接生。虽然研究表明， 各种教育干预措施，以改善专业实践， 没有发表过的研究试图改善居民的初级保健 在管理型医疗环境中进行实践。 在这个项目中，我们打算评估一个创新的 基于互联网的居民提供的护理质量干预 医保组织中有400多名糖尿病和高血压患者。使用强大的 随机对照设计，我们将衡量交付的效果 练习配置文件信息，通过可信的信使和 互联网，对居民初级保健质量的影响。 通过展示让实习医生参与培训的可行性 质量改进，这个项目将成为未来的典范 为管理中的居民提供教育和提高质量的努力 护理设置。居民更多地接触到这种干预措施 可能会提高他们未来对质量的接受度和参与度 作为执业医生的改进创新。

Over the past decade, medical education has shifted to the outpatient setting. This shift, accompanied by imperatives to produce more primary care physicians, has resulted in more outpatient primary care being delivered by resident physicians. While studies have demonstrated a variety of educational interventions to improve professional practice, no published studies have attempted to improve residents' primary care practice in the managed care setting. In this project we intend to evaluate the impact of an innovative internet-based intervention on the quality of care residents deliver to over 400 diabetic and hypertensive patients in an HMO. Using a powerful randomized controlled design, we will measure the effect of delivering practice profile information, by way of a credible messenger and the internet, on the quality of residents' primary care. By demonstrating the feasibility of involving physicians-in-training in quality improvement, this project will serve as a model for future educational and quality improvement efforts for residents in managed care settings. Increased resident exposure to this type of intervention may increase their future acceptance of and participation in quality improvement innovations as practicing physicians.