Division of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania 19014, USA.
Curr Opin Rheumatol. 2010 Mar;22(2):173-80. doi: 10.1097/BOR.0b013e328335eee3.
To describe obstacles to optimum management of gout by primary care physicians and to propose educational interventions to improve care.
In the past, gout education has been hampered by infrequency of continuing medical education courses, loss of excitement for a disease in which therapies have not changed (until recently), insufficient evidence-based medicine, and the lack of motivation by physicians to re-learn this disease once in active practice. We identify 10 common myths that impede appropriate treatment of gout, identify gaps in evidence-based medicine that perpetuate those myths, and propose opportunities to improve education on these myths. It is through better gout-centered education that quality of care in gout can be enhanced. Residency may be one of the key points of intervention. As more evidence-based medicine publications address the optimum management of gout, national re-education can occur. More outreach by community rheumatologists to primary care physicians through educational programs and improved referral letters can help re-educate practitioners. Lastly, an often overlooked engine to change physician practices is consumer education, but current patient education programs are lacking.
Novel education interventions for physician trainees, primary care physicians, and patients are proposed to improve the care of patients with gout.
描述初级保健医生在治疗痛风时面临的障碍，并提出教育干预措施以改善治疗效果。
过去，痛风教育受到以下因素的阻碍：继续教育课程的频率不足、治疗方法（直到最近）没有改变而使人们对该疾病失去兴趣、循证医学证据不足，以及医生缺乏重新学习该疾病的动力，因为一旦开始实践，他们就会接触到该疾病。我们确定了 10 个常见的误解，这些误解阻碍了痛风的合理治疗，找出了循证医学中的空白，这些空白使这些误解持续存在，并提出了改善这些误解的教育机会。通过更好的以痛风为中心的教育，可以提高痛风的护理质量。住院医师培训可能是干预的关键点之一。随着更多基于循证医学的出版物解决痛风的最佳治疗方法，国家可以进行重新教育。通过教育计划和改进转诊信，社区风湿病学家向初级保健医生提供更多的帮助，以重新教育医生。最后，改变医生实践的一个经常被忽视的因素是对患者的教育，但目前缺乏患者教育计划。
为改善痛风患者的护理，提出了针对医师学员、初级保健医生和患者的新的教育干预措施。
