A 'Silent Trial' Assessing the Accuracy of Large Language Models for Assisting Community Health Workers in Low-Resource Settings

这项在卢旺达开展的“静默试验”表明,虽然当地社区卫生工作者已具备极高的转诊准确率(97.9%),但大型语言模型的表现差异巨大(OpenAI o3 表现相当而 Gemini Flash 2.5 仅 47.3%),提示模型选择至关重要且其在成熟项目中提升空间有限。

Shimelash, N., Rutunda, S., Menon, V. + 16 more2026-02-17📄 primary care research

Teleconferencing as an alternative to written Advice and Guidance referrals at the primary-secondary care interface: a qualitative case study

这项在英国东盎格利亚进行的定性案例研究表明,将神经科病例的电话会议作为替代书面咨询转诊的方式,能够改善全科医生与专科医生之间的沟通与关系并优化患者就医流程,但未来仍需进一步评估其成本效益及在更广泛环境中的可复制性。

He, S., Usher-Smith, J., Martin, G.2026-02-16📄 primary care research

Improving cardiovascular population risk in primary care: protocol for the PROSPERA cluster-randomized controlled trial of a complex multilevel intervention

PROSPERA 研究是一项在荷兰开展的整群随机对照试验方案,旨在评估一种包含风险分层、专业培训、生活方式问卷及临床决策支持工具的多层次复杂干预措施,在初级保健中改善心血管高危患者群体风险管理的实际效果。

Bongaerts, V. A. M. C., Vos, R. C., Hageman, S. H. J. + 4 more2026-02-16📄 primary care research