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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Impact of education for physicians on patient outcomes.
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Impact of education for physicians on patient outcomes.

机译：教育对医生的影响对患者的结果。

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OBJECTIVES: This study was conducted to assess the impact of an interactive seminar based on self-regulation theory on 1) the treatment practices and communications and education behavior of physicians, 2) the health status and medical care utilization of their pediatric patients with asthma, and 3) the satisfaction with care of the subjects' parents. METHODS: A total of 74 general practice pediatricians were assigned to either a program or a control group in a randomized controlled study. Data were collected from physicians at baseline, and 69 (93%) provided follow-up data 5 months after the program. Data were also collected from 637 of their patients at baseline, and in a 22-month window after the intervention, 472 (74%) of this number provided follow-up data. RESULTS: After the seminar, physicians in the program group were more likely than were control group physicians to address patients' fears about medicines, review written instructions, provide a sequence of educational messages, write down how to adjust the medicines at home when symptoms change, and report that they spent less time with their patients. Parents of the children treated by program physicians were significantly more likely than were control group parents to report that the physician had been reassuring, described as a goal that the child be fully active, and gave information to relieve specific worries. After a visit with the physician, these parents were also more likely to report that they knew how to make management decisions at home. After the intervention compared to controls, patients of physicians in the program group were more likely to have received a prescription for inhaled antiinflammatory medicine and to have been asked by the physician to demonstrate how to use a metered-dose inhaler. After the intervention, children seen by program physicians made significantly fewer nonemergency office visits and visits for follow-up of an episode of symptoms; however, there were no differences in emergency department visits and hospitalizations. Among children who were placed on inhaled corticosteroids during this study, however, children treated by physicians who had received education had significantly fewer symptoms and fewer follow-up office visits, nonemergency physician office visits, emergency department visits, and hospitalizations. CONCLUSIONS: The interactive seminar based on theories of self-regulation led to patient-physician encounters that were of shorter duration, had significant impact on the prescribing and communications behavior of physicians, led to more favorable patient responses to physicians' actions, and led to reductions in health care utilization.
机译：目的：本研究旨在评估基于自我调节理论的互动研讨会对以下方面的影响：1）医师的治疗方法，沟通和教育行为; 2）小儿哮喘患者的健康状况和医疗保健利用; 3）对受试者父母的照顾感到满意。方法：在随机对照研究中，共有74名全科儿科医生被分配到一个程序或对照组。该数据是在基线时从医生那里收集的，该程序后5个月有69位（93％）提供了随访数据。还从基线时从637名患者中收集了数据，在干预后的22个月内，有472名患者（74％）提供了随访数据。结果：研讨会之后，与对照组的医生相比，项目组的医生更有可能解决患者对药物的恐惧，复习书面说明，提供一系列教育信息，写下症状改变时如何在家中调整药物的方法。 ，并报告他们花在病人身上的时间更少。由计划医生治疗的孩子的父母比对照组的父母更有可能报告医生已经放心，这被描述为孩子充分活跃的目标，并提供了减轻特定担忧的信息。在拜访医生之后，这些父母也更有可能报告他们知道如何在家中做出管理决定。与对照组相比，干预后，程序组的医生患者更有可能收到吸入抗炎药的处方，并且被医生要求证明如何使用定量吸入器。干预后，计划医生所见的儿童进行非紧急办公室就诊和对症状发作进行随访的人数明显减少。但是，急诊科就诊和住院情况没有差异。然而，在这项研究中被吸入吸入类固醇激素的儿童中，接受过教育的医师治疗的儿童的症状明显减少，随访办公室就诊，非急诊医师就诊，急诊就诊和住院的人数也减少了。结论：基于自我调节理论的交互式研讨会导致病患与医师的接触时间较短，对医师的处方和交流行为产生了重大影响，导致患者对医师行为的反应更加有利，并导致减少卫生保健利用率。

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