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  1. Fulltext. Improving preventive health care in a medical resident practice.

    Article - En anglais

    Fulltext.

    Background 

    The ambulatory care resident practice is an opportunity to enhance the skills, knowledge, and attitudes for effective provision of preventive health services (PHS).

    Objective 

    To determine whether a required intervention at a university medical resident practice would lead to improved performance of 6 secondary PHS.

    Methods 

    A sequentially randomized chart analysis was performed at 2 clinics, a collaborative nurse practitioner practice (NP) and a resident practice (RP) to determine performance rate of secondary PHS (pelvic, prostate, and breast examinations, stool guaiac testing, mammography, and prostate-specific antigen determination).

    A significantly lower (36.9%) PHS performance rate was noted in the RP compared with 84.5% in NP for all 6 secondary PHS studied.

    An intervention was implemented in the RP : following every resident-patient clinic encounter a discussion and documentation of the patient's PHS status was required as part of the assessment and plans of management.

    At the end of 1 year the effect of this intervention on performance rates of the 6 PHS in the RP was analyzed.

    Results 

    There was a statistically significant difference (P<. 001) between the PHS performance rates of NP and RP at the beginning.

    The intervention resulted in improved PHS performance rates in the RP ; compared with the NP at the end of the study no statistical difference was noted between the groups. (...)

    Mots-clés Pascal : Développement, Politique sanitaire, Prévention, Relation, Pratique professionnelle, Médecin, Résident, Formation professionnelle, Etude statistique, Homme

    Mots-clés Pascal anglais : Development, Health policy, Prevention, Relation, Professional practice, Physician, Resident, Occupational training, Statistical study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0135504

    Code Inist : 002B30A09. Création : 21/07/1998.