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弗吉尼亚州家庭医生和内科医生对老年医学教育的兴趣。

Interest in geriatrics education among family practitioners and internists in Virginia.

作者信息

Perez E D, Mulligan T, Meyers M E

机构信息

Department of Internal Medical College of Virginia, Richmond.

出版信息

Acad Med. 1991 Sep;66(9):558-9.

PMID:1883456
Abstract

To determine primary care physicians' interest in continuing medical education (CME) in geriatrics, the authors surveyed all Virginia family practice (FP) physicians and internal medicine (IM) physicians, a total of 1,882. Sixty-one percent (1,139) responded, of which 56% were FP physicians and 44% were in IM. On a visual analog scale to measure the physicians' interest in geriatrics education (from 1 = unimportant to 10 = very important), the FP physicians' mean score was 6.4; the IM physicians' mean score was 6.1. The preferred form of education was a two-to-three-day conference, and the preferred topics were acute care, long-term care, and rehabilitation. Stepwise multiple regression showed that the physicians' intent to take the Added Qualifications in Geriatric Medicine examination was the major predictor of their interest in geriatrics education (R2 = .12, p = .0001). Also significant contributors were the total amount of geriatric care the physicians provided, the home visits they provided, their prior participation in geriatrics CME conferences, absence of a negative attitude toward the Medicare system, and their lack of confidence in their current knowledge of geriatrics. The final model could account for 20% of these physicians' interest in future CME in geriatrics (R2 = .20). These findings may help geriatrics educators develop methods to educate primary care providers about geriatrics.

摘要

为了确定初级保健医生对老年医学继续医学教育(CME)的兴趣,作者对弗吉尼亚州的所有家庭医学(FP)医生和内科(IM)医生进行了调查,共计1882人。61%(1139人)做出了回应,其中56%是家庭医学医生,44%是内科医生。在一个视觉模拟量表上,用于衡量医生对老年医学教育的兴趣(从1=不重要到10=非常重要),家庭医学医生的平均得分是6.4;内科医生的平均得分是6.1。首选的教育形式是为期两到三天的会议,首选的主题是急性护理、长期护理和康复。逐步多元回归显示,医生参加老年医学附加资格考试的意愿是他们对老年医学教育兴趣的主要预测因素(R2 = 0.12,p = 0.0001)。其他重要因素包括医生提供的老年护理总量、他们进行的家访、他们之前参加老年医学CME会议的情况、对医疗保险系统没有负面态度以及他们对自己当前老年医学知识缺乏信心。最终模型可以解释这些医生对未来老年医学CME兴趣的20%(R2 = 0.20)。这些发现可能有助于老年医学教育工作者制定方法,向初级保健提供者传授老年医学知识。

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