Martín Fernández J, Martínez Marcos M, Ferrándiz Santos J
Unidad de Formación e Investigación, Centro de Salud de San Andrés, Area 11 de Atención Primaria, Madrid, Spain.
Aten Primaria. 2001 Apr 30;27(7):497-502. doi: 10.1016/s0212-6567(01)78841-5.
To compare the evaluation of reaction of an activity of continuous education (CE) in minor surgery (MS), with the impact in the realization of MS in a health area.
Observational cross-sectional study. Setting. 27 centers in a health area that offer MS between their services.
The valuation was studied in a scale from 1 to 10, of 9 theoretical-practical activities of CE in MS and the consideration of its utility. The number of activities of MS (NMS) carried out in all the units, was picked up during one year, and a model of lineal regression was built. The independent variable was the NMS, and the explanatory ones the assistance pressure (AP), the postgraduate formation (PF), the staff of the unit, the equipment (E), and the carried out CE.
The valuation of the CE had a median of 8 (with interquartile range 1), 85.1% of the people who realized CE in MS said that this would be of utility. However in the explanatory regression model the PF was the only significant variable (beta = 6.7; 95% CI, 0.12-12.22). Neither the CE, nor the AP, nor the E, explained the variability among the NMS.
The CE in MS with conventional methodology has a very positive reaction evaluation, but its impact in the later realization of MS is not significant.
比较对小手术中持续教育(CE)活动反应的评估与在某卫生区域开展小手术所产生的影响。
观察性横断面研究。地点:某卫生区域内提供小手术服务的27个中心。
对小手术中9项理论 - 实践CE活动按1至10分进行评估,并考量其效用。记录所有单位在一年内开展的小手术活动数量(NMS),并建立线性回归模型。自变量为NMS,解释变量为辅助压力(AP)、研究生培养(PF)、单位工作人员、设备(E)以及开展的CE。
CE评估的中位数为8(四分位间距为1),在小手术中开展CE的人员中有85.1%表示其有用。然而在解释性回归模型中,PF是唯一显著的变量(β = 6.7;95%可信区间为0.12 - 12.22)。CE、AP和E均未解释NMS之间的变异性。
采用传统方法的小手术CE有非常积极的反应评估,但对随后开展小手术的影响不显著。