RESUMO
Primary care is the principal setting for implementation of prevention services for children and their families. However, aspects of primary care practice and lack of patient adherence to therapeutic regimens that ultimately lead to lifestyle and behavior changes are barriers to the delivery of prevention services. The authors of this paper present descriptive information about how a web-based computer application is being used to assist physicians in a major medical center overcome some of these impediments. This information is presented in the hopes of generating discussion about the utility of computer based support for prevention services in primary care settings. Additional steps to optimize the care of patients are also described.
Assuntos
Internet , Serviços Preventivos de Saúde/organização & administração , Atenção Primária à Saúde , Comportamento de Redução do Risco , Adolescente , Adulto , Criança , Hospitais Pediátricos , Humanos , Ohio , Estudos de Casos Organizacionais , PediatriaRESUMO
Using a convenience sample of 152 married couples, the present study tested models that alternately considered family members' perceptions of Expressed Emotion to be a one-, two-, three-, or four-factor construct as measured by the Family Emotional Involvement and Criticism Scale. Results of confirmatory factor analysis procedures indicated that perceptions of Expressed Emotion were best represented by a four-factor model that consisted of involvement, criticism, upset feelings, and approval. The methodological implications of these findings are discussed.
