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首页> 外文期刊>International Journal of General Medicine >Getting it right: the impact of a continuing medical education program on hepatitis B knowledge of Australian primary care providers
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Getting it right: the impact of a continuing medical education program on hepatitis B knowledge of Australian primary care providers

机译：正确处理：持续医学教育计划对澳大利亚初级保健提供者的乙肝知识的影响

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Introduction: In Australia, chronic hepatitis B (CHB) disproportionately affects migrants born in hepatitis B endemic countries, but its detection and management in high risk populations remains suboptimal. We piloted a primary care based program for CHB detection and management in an area of high disease prevalence in Sydney, Australia. Prior to its launch, all local general practitioners were invited to take part in a continuing medical education (CME) program on hepatitis B diagnosis and management. Material and methods: Preceding each CME activity, participants completed an anonymous survey recording demographic data and hepatitis B knowledge, confidence in CHB management, and preferred CME modalities. We compared knowledge scores of first-time and repeat attendees. Results: Most participants (75%) were males, spoke more than one language with their patients (91%), self-identified as Asian-Australians (91%), and had graduated over 20 years previously (69%). The majority (97%) knew what patient groups require CHB and hepatocellular cancer screening, but fewer (42%–75%) answered hepatitis B management and vaccination questions correctly. Knowledge scores were not significantly improved by seminar attendance and the provision of hepatitis B resources. At baseline, participants were fairly confident about their ability to screen for CHB, provide vaccinations, and manage CHB. This did not change with repeat attendances, and did not correlate with survey outcomes. Large group CMEs were the preferred learning modality. Discussion: Knowledge gaps in hepatitis B diagnosis and management translate into missed opportunities to screen for CHB, to vaccinate those susceptible, and to prevent disease complications. The results suggest that a range of innovative CME programs are required to update general practitioners on the modern management of CHB infection.
机译：简介：在澳大利亚，慢性乙型肝炎（CHB）对在乙型肝炎流行国家出生的移民产生的影响不成比例，但在高危人群中对其进行检测和管理仍然欠佳。我们在澳大利亚悉尼的一个疾病高发地区试行了基于初级保健的CHB检测和管理计划。在启动之前，所有当地的全科医生都应邀参加有关乙型肝炎诊断和管理的继续医学教育（CME）计划。资料和方法：在每次CME活动之前，参与者完成了一项匿名调查，记录了人口统计数据和乙型肝炎知识，对CHB管理的信心以及首选的CME方式。我们比较了初次和重复参加者的知识得分。结果：大多数参与者（75％）是男性，与患者说一种以上的语言（91％），自认是亚洲-澳大利亚人（91％），并且在20年前毕业（69％）。大多数（97％）知道哪些患者需要CHB和肝细胞癌筛查，但较少（42％–75％）正确回答了乙肝管理和疫苗接种问题。通过参加研讨会和提供乙肝资源，知识得分没有显着提高。在基线时，参与者对自己筛查CHB，提供疫苗接种和管理CHB的能力充满信心。重复出勤并没有改变，也没有与调查结果相关。大型CME是首选的学习方式。讨论：乙型肝炎诊断和管理中的知识鸿沟意味着错过了筛查CHB，为易感人群接种疫苗以及预防疾病并发症的机会。结果表明，需要一系列创新的CME计划，以使全科医生了解CHB感染的现代管理方法。

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