Abu Rumman K, Ottmani S, Abu Sabra N, Baghdadi S, Seita A, Blanc L
National Tuberculosis Control Programme, Ministry of Health, Amman, Jordan.
East Mediterr Health J. 2009 Jan-Feb;15(1):111-21.
This study assessed whether training physicians on the Practical Approach to Lung Health (PAL) reduces drug prescribing and the cost of drugs prescribed to respiratory patients in the primary health care setting. Data were compared before and after training general practitioners on standard guidelines for case management of respiratory conditions in primary care. A total of 56 general practitioners practising in 25 health centres in 3 out of 12 governorates of Jordan participated in both the baseline survey (n = 6260 respiratory patients) and the impact survey (n = 2709 patients). Training in PAL decreased by 12.2% the number of drugs prescribed per patient, increased the prescription of inhaled medications and reduced the mean cost of a drug prescription per patient by 8.7%.
本研究评估了对医生进行肺部健康实用方法（PAL）培训是否能减少初级卫生保健机构中呼吸系统疾病患者的药物处方及所开药物的费用。在对全科医生进行初级保健中呼吸系统疾病病例管理标准指南培训前后，对数据进行了比较。约旦12个省中的3个省的25个健康中心的56名全科医生参与了基线调查（n = 6260名呼吸系统疾病患者）和影响调查（n = 2709名患者）。PAL培训使每位患者的药物处方数量减少了12.2%，增加了吸入药物的处方，并使每位患者的药物处方平均费用降低了8.7%。
