The ambulatory care resident practice is an opportunity to enhance the skills, knowledge, and attitudes for effective provision of preventive health services (PHS).
To determine whether a required intervention at a university medical resident practice would lead to improved performance of 6 secondary PHS.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0135504
Code Inist : 002B30A09. Création : 21/07/1998.