Boffin N, Van der Stighelen V, Paulus D, Van Royen P
Scientific Society of Flemish GPs (WVVH), Antwerp, Belgium.
Monaldi Arch Chest Dis. 2006 Sep;65(3):128-32. doi: 10.4081/monaldi.2006.557.
While office spirometry is seen as potentially useful and feasible in general practice, little is known about its use in Flemish general practice. Our aim was to describe the use of spirometers by Flemish GPs, characteristics of their spirometry practice, training needs and preferences, and attitudes towards office spirometry.
A telephone survey was set up in a random sample of Flemish GPs. Interviews were carried out by a GP researcher using a structured piloted questionnaire.
197 out of 243 eligible GPs (81%) were interviewed. Most GPs (66%) had never used an office spirometer, 17.3% were using one and 16.7% stopped using one. Time constraints (54%) and insufficient knowledge and skills (27%) were the main reasons for not using an office spirometer (any longer). GPs particularly used their spirometer to diagnose COPD and asthma, and less frequently in follow-up. GPs (67.9%), especially current users (91.2%), considered spirometry as a GP task. Spirometry training should be provided (86%) and spirometry by GPs should be reimbursed (79.5%). More information on spirometry would be very useful (62.3%), with a marked preference for training in small groups (86.8%).
Although office spirometry is not widespread in Flemish general practice, GPs show an undoubted interest in it. They need educational and financial support to overcome prevailing barriers in establishing office spirometry on a routine basis.
虽然在一般医疗实践中，门诊肺功能测定被认为可能有用且可行，但对于其在弗拉芒地区一般医疗实践中的应用知之甚少。我们的目的是描述弗拉芒地区全科医生对肺功能仪的使用情况、肺功能测定实践的特点、培训需求和偏好，以及对门诊肺功能测定的态度。
对弗拉芒地区的全科医生进行随机抽样电话调查。由一名全科医生研究人员使用一份经过预试验的结构化问卷进行访谈。
243名符合条件的全科医生中有197名（81%）接受了访谈。大多数全科医生（66%）从未使用过门诊肺功能仪，17.3%的医生正在使用，16.7%的医生已停止使用。时间限制（54%）和知识与技能不足（27%）是（不再）使用门诊肺功能仪的主要原因。全科医生特别使用肺功能仪来诊断慢性阻塞性肺疾病（COPD）和哮喘，随访时使用较少。全科医生（67.9%），尤其是目前的使用者（91.2%），认为肺功能测定是全科医生的一项任务。应提供肺功能测定培训（86%），全科医生进行的肺功能测定应得到报销（79.5%）。关于肺功能测定的更多信息将非常有用（62.3%），明显倾向于小组培训（86.8%）。
虽然门诊肺功能测定在弗拉芒地区的一般医疗实践中并不普遍，但全科医生对其表现出了无疑的兴趣。他们需要教育和财政支持，以克服在常规开展门诊肺功能测定方面存在的主要障碍。
