Knowledge and health care resource allocation: CME/CPD course guidelines-based efficacy

被引：0

作者：

Braido, F. ^{[1
]}

Comaschi, M. ^{[2
]}

Valle, I. ^{[3
]}

Delgado, L. ^{[4
,5
]}

Coccini, A. ^{[5
]}

Guerrera, P.

Stagi, E. ^{[6
]}

Canonica, G. W. ^{[1
]}

Angino, A. ^{[7
]}

Baldacci, S. ^{[7
]}

Borbotti, M. ^{[7
]}

Cerrai, S. ^{[7
]}

Di Pede, F. ^{[7
]}

Maio, S. ^{[7
]}

Mangione, M. ^{[7
]}

Martini, F. ^{[7
]}

Pala, A. P. ^{[7
]}

Piegaia, B. ^{[7
]}

Sarno, G. ^{[7
]}

Silvi, P. ^{[7
]}

Viegi, G. ^{[7
]}

Dente, F. ^{[8
]}

Bacci, E. ^{[8
]}

Paggiaro, P. ^{[8
]}

Bancalari, L. ^{[9
]}

Foschino, M. P. ^{[10
]}

Moscato, G. ^{[11
]}

Pilucchi, A. ^{[12
]}

Bresciani, M. ^{[13
]}

Pierimarchi, P. ^{[13
]}

Brunetto, B. ^{[14
]}

Iacovacci, P. ^{[14
]}

Pini, C. ^{[14
]}

Tinghino, R. ^{[14
]}

Forestiere, F. ^{[15
]}

Perucci, C. A. ^{[15
]}

Porta, D. ^{[15
]}

Ancona, L. ^{[15
]}

Protasi, S. ^{[15
]}

Lazazzera, B. ^{[15
]}

Ziroli, V. ^{[15
]}

D'Armini, E. ^{[15
]}

Campanile, S. Festa ^{[15
]}

Ferri, M. ^{[15
]}

Lorusso, P. ^{[15
]}

Pistelli, R. ^{[16
]}

Salotti, R. ^{[17
,18
]}

Santagati, M. ^{[17
,18
]}

Agea, E. ^{[19
]}

Casciari, C. ^{[19
]}

机构：

[1] Univ Genoa, IRCCS AOU San Martino, Allergy & Resp Dis Clin, Genoa, Italy

[2] Univ Hosp SanMartino, Emergency Dept, Genoa, Italy

[3] Italian Natl Hlth Syst Local Hlth Unit N3 Gen, Genoa, Italy

[4] Univ Porto, Fac Med, Dept Immunol, Oporto, Portugal

[5] Univ Hosp S Martino, Econ Hlth Consultant, Genoa, Italy

[6] Natl Inst Canc Res, Epidemiol Biostatist & Clin trials, Genoa, Italy

[7] CNR, Ist Fisiol Clin, Pisa, Italy

[8] Univ Pisa, Dipartimento Cardiotorac & Vasc, Sez Fisiopatol Resp, Pisa, Italy

[9] ASL La Spezia, UO Pneumol, La Spezia, Italy

[10] Univ Foggia, Clin Malattie Resp, Foggia, Italy

[11] Fdn Maugeri, Pavia, Italy

[12] UO Fisiopatol Resp, Sesto San Giovanni, Italy

[13] CNR, Ist Neurobiol & Med Mol, Rome, Italy

[14] Ist Super Sanita, Rome, Italy

[15] Serv Sanit Reg, Dipartimento Epidemiol, Rome, Regione Lazio, Italy

[16] Univ Cattolica Sacro Cuore, Complesso Integrato Columbus, Rome, Italy

[17] Soc Italiana Farm Osped, Rome, Italy

[18] Azienda Sanit SIFO, Serv Farmaceut, Rome, Italy

[19] Univ Perugia, Dipartimento Med Clin & Sperimentale, Sez Med Interna & Sci Oncol, Perugia, Italy

[20] Azienda Osped Univ Osped Riuniti Ancona, Serv Allergol, Ancona, Italy

[21] Seconda Univ Napoli, Dipartimento Med Sperimentale, Sez Farmacol, Naples, Italy

[22] Univ Genoa, Dipartimento Med Interna & Specialita Med, Clin Tisiol & Pneumol, Genoa, Italy

[23] Univ Pavia, Dipartimento Sci Ematol Pneumol Cardiovasc Med &, Sez Fisiopatol Resp, Pavia, Italy

来源：

EUROPEAN ANNALS OF ALLERGY AND CLINICAL IMMUNOLOGY | 2012年 / 44卷 / 05期

关键词：

Asthma; continuing medical education; continuing professional development; cost; drugs; diagnostic procedures; hospitalization; guidelines; medico-economic assessment; spirometry;

D O I：

暂无

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Background: Most Health Care Systems consider Continuing Medical Education a potential tool to improve quality of care and reduce disease management costs. Its efficacy in general practitioners needs to be further explored. Objective: This study assesses the effectiveness of a one-year continuing medical education/continuing professional development course for general practitioners, regarding the improvement in knowledge of ARIA and GINA guidelines and compliance with them in asthma management. Methods: Sixty general practitioners, covering 68,146 inhabitants, were randomly allocated to continuing medical education/ continuing professional development (five residential events + four short distance-learning refresher courses over one year) or no training. Participants completed a questionnaire after each continuing medical education event; key questions were repeated at least twice. The Local Health Unit prescription database was used to verify prescription habits (diagnostic investigations and pharmacological therapy) and hospitalizations over one year before and after training. Results: Fourteen general practitioners (46.7%) reached the cut-off of 50% attendance of the training courses. Knowledge improved significantly after training (p<0.001, correct answers to key questions +13%). Training resulted in pharmaceutical cost containment (trained general practitioners +0.5% vs controls +18.8%) and greater attention to diagnosis and monitoring (increase in spirometry +63.4%, p<0.01). Conclusion: This study revealed an encouraging impact of educational events on improvement in general practitioner knowledge of guidelines and daily practice behavioral changes. Long-term studies of large populations are required to assess the effectiveness of education on the behavior of physicians in asthma management, and to establish the best format for educational events.

引用

页码：193 / 199

页数：7

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