Kowacs Pedro André, Twardowschy Carlos Alexandre, Piovesan Elcio Juliato, Dal-Prá Ducci Renata, Cirino Raphael Henrique Déa, Hamdar Fátima, Chomatas Eliane Regina da Veiga, Marty Inês Kultchek
Departamento de Clínica Médica, Hospital de Clínicas da UFPR, Curitiba, PR, Brazil.
Arq Neuropsiquiatr. 2009 Sep;67(3A):595-9. doi: 10.1590/s0004-282x2009000400004.
Headache is a common condition not always managed satisfactorily by primary care providers (PCPs). In an effort to improve headache care, the Curitiba City Hall in consortia with Hospital de Clínicas da Universidade Federal do Paraná - Brazil developed an educational program directed to the PCPs. The goal of the project was to evaluate, to update and to train the PCP on headache knowledge and care.
The program was designed to have a theoretical phase and a practical phase. Knowledge on headache and medical care of headache were surveyed before and after the theoretical phase thorough a specific questionnaire.
Significant improvement in post-CME scores on headache prevalence (p<0.001), migraine diagnosis (p<0.001) and management (p=0.01), secondary headache diagnosis (p=0.005) and management (p=0.005) was reached by the respondents.
Improvement in post-CME scores confirms that the program had a significant immediate impact on the PCPs knowledge directly affecting the patient's health.
头痛是一种常见病症，基层医疗服务提供者（PCP）对其治疗效果并不总是令人满意。为了改善头痛治疗，库里蒂巴市政厅与巴西巴拉那联邦大学临床医院联合开展了一项针对基层医疗服务提供者的教育项目。该项目的目标是评估、更新并培训基层医疗服务提供者有关头痛的知识和治疗方法。
该项目设计了理论阶段和实践阶段。在理论阶段前后，通过一份特定问卷对头痛知识和头痛医疗护理情况进行调查。
受访者在继续医学教育（CME）后，在头痛患病率（p<0.001）、偏头痛诊断（p<0.001）与治疗（p=0.01）、继发性头痛诊断（p=0.005）与治疗（p=0.005）方面的得分有显著提高。
继续医学教育后得分的提高证实该项目对直接影响患者健康的基层医疗服务提供者的知识有显著的即时影响。
