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一项针对维多利亚州全科医生的教育活动的成果,该活动旨在提高与性传播疾病相关的知识和实践水平。

Outcomes of an educational activity with Victorian GPs aimed at improving knowledge and practices in relation to sexually transmissible diseases.

作者信息

Mulvey G, Keogh L A, Temple-Smith M J

机构信息

Centre for the Study of Sexually Transmissible Diseases, La Trobe University, Victoria.

出版信息

Aust N Z J Public Health. 2000 Feb;24(1):76-8. doi: 10.1111/j.1467-842x.2000.tb00727.x.

Abstract

OBJECTIVE

To measure the effect of a simple educational strategy for general practitioners (GPs) on their knowledge and self-reported practice in relation to sexually transmissible disease (STD) management.

METHOD

In 1995, we surveyed 520 Victorian GPs; 444 (85%) responded. A sub-sample of 242 was sent an educational package in relation to STD management that required them to reflect on their performance in the survey in relation to that of the sample as a whole. Two months after they had received the package, a brief follow-up questionnaire, using a selection of questions from the first survey, was sent to these GPs.

RESULTS

Practitioners showed statistically significant improvements in knowledge and self-reported practice for four of the six outcomes that were examined.

CONCLUSION

A relatively simple educational package for GPs had a high participation rate and resulted in improvements in knowledge and self-reported practice that could contribute to increased STD case finding in the general practice setting.

IMPLICATIONS

The key to enabling GPs to make a greater contribution to improved STD control is to encourage them to be more active in diagnosing and treating asymptomatic disease. For asymptomatic patients, sexual history-taking and selective screening are important skills but there are barriers to their implementation in the general practice setting. A key objective of GP educational programs in relation to STDs is to increase their likelihood of taking a sexual history and the significant increase in this measure for the whole sample was encouraging.

摘要

目的

评估一种针对全科医生(GP)的简单教育策略对其在性传播疾病(STD)管理方面的知识及自我报告的诊疗行为的影响。

方法

1995年,我们对520名维多利亚州的全科医生进行了调查;444人(85%)做出了回应。从这444人中抽取242人组成一个子样本,向他们发送了一份关于STD管理的教育资料包,要求他们对照整个样本的情况反思自己在调查中的表现。在他们收到资料包两个月后,向这些全科医生发送了一份简短的随访问卷,问卷选用了第一次调查中的一些问题。

结果

在所检查的六项指标中,有四项指标显示,从业者在知识和自我报告的诊疗行为方面有统计学上的显著改善。

结论

为全科医生提供的一个相对简单的教育资料包参与率很高,并使知识和自我报告的诊疗行为得到改善,这有助于在全科医疗环境中发现更多的STD病例。

启示

要使全科医生在改善STD控制方面做出更大贡献,关键在于鼓励他们在诊断和治疗无症状疾病方面更加积极主动。对于无症状患者,询问性病史和进行选择性筛查是重要技能,但在全科医疗环境中实施这些技能存在障碍。全科医生STD教育项目的一个关键目标是提高他们询问性病史的可能性,而整个样本在这一指标上的显著增加令人鼓舞。

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