Jaglal Susan B, Carroll June, Hawker Gillian, McIsaac Warren J, Jaakkimainen Liisa, Cadarette Suzanne M, Cameron Cathy, Davis Dave
Ontario Ministry of Health and Long-Term Care.
Can Fam Physician. 2003 Apr;49:462-8.
To explore family physicians' experiences and perceptions of osteoporosis and to identify their educational needs in this area.
Qualitative study using focus groups.
Four Ontario sites: one each in Thunder Bay and Timmins, and two in Toronto, chosen to represent a range of practice sizes, populations, locations, and use of bone densitometry.
Thirty-two FPs participated in four focus groups. Physicians were identified by investigators or local contacts to provide maximum variation sampling.
Focus groups using a semistructured interview guide were audiotaped and transcribed. The constant comparative method of data analysis was used to identify key words and concepts until saturation of themes was reached.
Family physicians order bone densitometry and try to manage osteoporosis appropriately, but lack a rationale for testing and are confused about management. Participants' main concern was clinical management, followed by disease prevention and their educational needs.
Family physicians are confused about how to manage osteoporosis. To reduce the burden of illness due to osteoporosis, educational interventions should be tailored to family physicians' needs.
探讨家庭医生对骨质疏松症的经验和看法,并确定他们在该领域的教育需求。
采用焦点小组的定性研究。
安大略省的四个地点:桑德贝和蒂明斯各一个,多伦多两个,这些地点被选来代表一系列不同的诊所规模、人群、地点以及骨密度测量的使用情况。
32名家庭医生参加了四个焦点小组。研究人员或当地联系人确定医生以提供最大差异抽样。
使用半结构化访谈指南的焦点小组进行录音和转录。采用持续比较分析法来识别关键词和概念,直至主题饱和。
家庭医生开具骨密度测量检查并试图合理管理骨质疏松症,但缺乏检查的理论依据且对管理感到困惑。参与者主要关注临床管理,其次是疾病预防和他们的教育需求。
家庭医生对如何管理骨质疏松症感到困惑。为减轻骨质疏松症导致的疾病负担,应根据家庭医生的需求定制教育干预措施。