Implementing arthritis clinical practice guidelines in primary care
Implementing arthritis clinical practice guidelines in primary care
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DOI：
10.1080/01421590802158377
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发表时间：
2009-03-01
期刊：
影响因子：
4.7
通讯作者：
Zummer, Michel
中科院分区：
文献类型：
--
作者：
Lineker, Sydney C.;Bell, Mary J.;Zummer, Michel
背景资料：多方面的干预措施是改变供应商behavior.Aims的最强有力的方法之一：本文报告了一个教育计划的设计，实施和过程评估，以传播基层医疗中类风湿性关节炎（RA）和骨关节炎（OA）管理的临床实践指南（CPG）。各组织应邀参加了关于OA和RA的跨专业讲习班，随后开展了为期六个月的活动，以支持在社区提供护理。在基线时使用10分数字评定量表评估关节炎管理能力的信心。定性评估立即进行，3-12个月后workshop.Results：646多学科供应商从216个组织参加了30个讲习班之一。提供者（n = 584）报告了对关节炎管理的中等信心：家庭医生：平均值：SD = 7.46（1.42），n = 145;执业护士：6.10（1.84），经过培训的患者教育者的参与是研讨会的重要特征。在后续行动中，参与者表示，该计划的最大影响是在协作护理（83%）和患者自我管理（79%）。结论：定性结果表明，跨专业学习可能是一个成功的策略，以提高合作关节炎护理和支持患者自我管理。
Background: Multi-faceted interventions are among the strongest methods for changing provider behavior.Aims: This paper reports the design, implementation and process evaluation of an educational program to disseminate clinical practice guidelines (CPGs) on the management of rheumatoid arthritis (RA) and osteoarthritis (OA) in primary care.Methods: Organizations were invited to participate in inter-professional workshops On OA and RA followed by six months of activities to Support the delivery of Care in the community. Confidence in ability to manage arthritis was assessed at baseline using a 10 point numerical rating scale. Qualitative assessments were done immediately and 3-12 months post workshop.Results: 646 multidisciplinary providers from 216 organizations attended one of 30 workshops. providers (n = 584) reported moderate confidence in managing arthritis: family physicians: mean: SD = 7.46(1.42), n = 145; nurse practitioners: 6.10(1.84), the involvement of trained patient educators as strong features of the workshops. At follow-up, participants indicated the greatest impact of the program was on collaborative care (83%) and patient self-management (79%).Conclusions: Qualitative results suggest that inter-professional learning may be a successful strategy for improving the delivery of collaborative arthritis care and supporting patient self-management.