Division of Geriatric Research, Institute of Population Health Sciences, Department of Family Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.
BMC Public Health. 2010 Feb 18;10:77. doi: 10.1186/1471-2458-10-77.
The Taiwanese government began reimbursement for smoking cessation in 2002. Certification from a training program was required for physicians who wanted reimbursement. The program certified 6,009 physicians till 2007. The objective of this study is to evaluate the short- and long term efficacy of the training program.
For short term evaluation, all trainees in 2007 were recruited. For long term evaluation, computer randomly selected 2,000 trainees who received training from 2002 to 2006 were recruited. Course satisfaction, knowledge, confidence in providing smoking cessation services and the adherence to a practice guideline were evaluated by questionnaires.
Trainees reported high satisfaction with the training program. There was significant difference between pre- and post-test scores in knowledge. Confidence in providing services was lower in the long term evaluation compared to short term evaluation. For adherence to a practice guideline, 86% asked the status of smoking, 88% advised the smokers to quit, 76% assessed the smoker's willingness to quit, 59% assisted the smokers to quit, and 60% arranged follow-up visits for smokers. The incentive of reimbursement was the most significant factor affecting confidence and adherence.
The training program was satisfactory and effective. Adherence to a practice guideline in our study was better than studies without physician training in other countries.
台湾政府于 2002 年开始为戒烟提供报销。希望获得报销的医生需要参加培训计划并获得认证。该计划在 2007 年之前认证了 6009 名医生。本研究旨在评估培训计划的短期和长期效果。
为了进行短期评估，招募了 2007 年的所有学员。为了进行长期评估，从 2002 年至 2006 年接受培训的学员中，通过计算机随机抽取了 2000 名学员。通过问卷调查评估课程满意度、知识、提供戒烟服务的信心和对实践指南的遵守情况。
学员对培训计划的满意度很高。知识的前测和后测得分存在显著差异。与短期评估相比，长期评估中提供服务的信心较低。对于实践指南的遵守情况，86%的人询问了吸烟状况，88%的人建议吸烟者戒烟，76%的人评估了吸烟者戒烟的意愿，59%的人协助吸烟者戒烟，60%的人安排了吸烟者的随访。报销的激励是影响信心和遵守的最重要因素。
培训计划令人满意且有效。我们的研究中对实践指南的遵守情况优于其他国家没有医生培训的研究。
