Techniques to improve physicians'use of diagnostic tests : A new conceptual framework.
- To review the published literature on interventions aimed at improving physicians'testing practices and propose methodologic standards for these studies and to review selected studies using the PRECEDE framework, a behavioral model that helps categorize interventions based on which behavioral factors are being affected.
- MEDLINE, EMBASE, and HEALTHStar databases were searched for the years 1966 to January 1,1998, for English-language articles pertaining to diagnostic testing behavior ; bibliographies were scanned to identify articles of potential interest ; and researchers in health services, health behavior, and behavior modification were contacted for proprietary and other unpublished articles.
- A total of 102 articles were identified that described the results of interventions aimed at changing physicians'testing practices.
We included the 49 studies that compared diagnostic testing practices in intervention and control groups.
- Two investigators independently reviewed each article in a blinded fashion using a standard data collection form to obtain a methodologic score and to abstract the key elements of each intervention.
- On a 38-point methodologic criteria scale, the mean±SD score was 13± 4.4. The desired behavior change was reported in the intervention group in 37 (76%) of 49 studies. (...)
Mots-clés Pascal : Médecin, Pratique professionnelle, Diagnostic, Revue bibliographique, Source information, Formation permanente, Etats Unis, Amérique du Nord, Amérique, Information biomédicale, Adulte, Homme
Mots-clés Pascal anglais : Physician, Professional practice, Diagnosis, Bibliographic review, Information source, Continuing education, United States, North America, America, Biomedical information, Adult, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0070838
Code Inist : 002B30A09. Création : 31/05/1999.