A roadmap for education to improve the quality of care in gout
A roadmap for education to improve the quality of care in gout
复制标题
提高痛风护理质量的教育路线图
DOI：
--
复制
发表时间：
2010
影响因子：
5.1
通讯作者：
J. V. Von Feldt
中科院分区：
文献类型：
--
作者：
A. Ogdie;S. Hoch;J. Dunham;J. V. Von Feldt
综述的目的描述初级保健医生对痛风进行最佳管理的障碍，并提出教育干预措施以改善护理。最近的发现在过去，痛风教育一直受到继续医学教育课程的频率，对治疗方法没有改变的疾病失去兴奋（直到最近），缺乏循证医学，以及医生缺乏积极实践的动机重新学习这种疾病。我们确定了10个阻碍痛风适当治疗的常见误区，确定了使这些误区永久存在的循证医学差距，并提出了改善这些误区教育的机会。通过更好的以痛风为中心的教育，可以提高痛风的护理质量。居住权可能是干预的关键点之一。随着越来越多的循证医学出版物解决痛风的最佳管理，国家再教育可能会发生。社区风湿病学家通过教育计划和改进转诊信向初级保健医生提供更多的外展服务，可以帮助对从业人员进行再教育。最后，改变医生做法的一个经常被忽视的引擎是消费者教育，但目前缺乏患者教育计划。总结新的教育干预医生实习生，初级保健医生，和病人提出了改善痛风患者的护理。
Purpose of reviewTo describe obstacles to optimum management of gout by primary care physicians and to propose educational interventions to improve care. Recent findingsIn the past, gout education has been hampered by infrequency of continuing medical education courses, loss of excitement for a disease in which therapies have not changed (until recently), insufficient evidence-based medicine, and the lack of motivation by physicians to re-learn this disease once in active practice. We identify 10 common myths that impede appropriate treatment of gout, identify gaps in evidence-based medicine that perpetuate those myths, and propose opportunities to improve education on these myths. It is through better gout-centered education that quality of care in gout can be enhanced. Residency may be one of the key points of intervention. As more evidence-based medicine publications address the optimum management of gout, national re-education can occur. More outreach by community rheumatologists to primary care physicians through educational programs and improved referral letters can help re-educate practitioners. Lastly, an often overlooked engine to change physician practices is consumer education, but current patient education programs are lacking. SummaryNovel education interventions for physician trainees, primary care physicians, and patients are proposed to improve the care of patients with gout.
DOI：
--
发表时间：
2004-08
期刊：
The Journal of rheumatology
影响因子：
--
作者：
K. Wallace;A. Riedel;N. Joseph‐Ridge;R. Wortmann
通讯作者：
K. Wallace;A. Riedel;N. Joseph‐Ridge;R. Wortmann