Schneider H, Chabikuli N, Blaauw D, Funani I, Brugha R
Centre for Health Policy, School of Public Health, University of Witwatersrand, Johannesburg, South Africa.
Sex Transm Infect. 2005 Oct;81(5):419-20. doi: 10.1136/sti.2004.010470.
Evaluation of an intervention to improve quality of sexually transmitted infections (STI) care among 64 private general practitioners (GPs) working in two urban districts in Gauteng Province, South Africa.
We implemented a multifaceted intervention, the core of which were four interactive continuing medical education seminars. Changes in STI treatment practices were evaluated through record reviews before and after the continuing medical education intervention in 17 randomly selected practices in the intervention districts and in nine randomly selected practices from a reference GP group (n = 34).
There were statistically significant improvements in the quality of drug treatment for urethral discharge but not pelvic inflammatory disease among both intervention and reference GPs.
Improvements in STI quality were possibly the result of a background secular trend rather than the intervention itself. Further research is needed on financial and other incentives to improved quality of STI care in the private sector environment.
对一项干预措施进行评估，该措施旨在提高在南非豪登省两个城区工作的64名私人全科医生（GP）提供性传播感染（STI）护理的质量。
我们实施了一项多方面的干预措施，其核心是四次互动式继续医学教育研讨会。通过对干预区17个随机选择的诊所和参考全科医生组（n = 34）中9个随机选择的诊所进行继续医学教育干预前后的记录审查，评估性传播感染治疗实践的变化。
干预组和参考组全科医生在尿道分泌物药物治疗质量方面有统计学上的显著改善，但盆腔炎方面没有。
性传播感染护理质量的提高可能是背景长期趋势的结果，而非干预措施本身。需要进一步研究在私营部门环境中提高性传播感染护理质量的财务和其他激励措施。
