Kousgaard Marius Brostrøm, Thorsen Thorkil
Forskningsenheden for Almen Praksis i København og Afdeling for Almen Medicin, Institut for Folkesundhedsvidenskab, Københavns Universitet, Øster Farimagsgade 5, P.O. 2099, 1014 Copenhagen K, Denmark.
Dan Med J. 2012 Jun;59(6):A4443.
The use of facilitators for quality improvement in general practice has accelerated during the past decade. As general practitioners (GPs) or pharmacists have typically been used as facilitators, there is a lack of knowledge of how other professionals function as facilitators. This article explores the experiences and assessments of GPs and nurses participating in a project in which a medical specialist (endocrinologist) acted as a facilitator for quality improvement.
This study is based on observations of facilitation sessions and interviews with the health professionals (13 GPs, four nurses, one endocrinologist) participating in a facilitation project in the Capital Region of Denmark.
The facilitator sessions primarily focused on pharmacological issues related to diabetes treatment. The respondents described the facilitation sessions as a positive and motivating learning experience, and the majority of them were able to point to specific learning outcomes.
The results suggest that for selected medical issues, a trained medical specialist can act as a facilitator in general practice to the satisfaction of GPs and staff. Future studies should assess the clinical effects of such facilitation programmes.
在过去十年中，利用促进者推动全科医疗质量改进的做法日益增多。由于通常由全科医生（GPs）或药剂师担任促进者，对于其他专业人员如何担任促进者缺乏了解。本文探讨了参与一个项目的全科医生和护士的经验与评估，在该项目中一名医学专家（内分泌学家）担任质量改进的促进者。
本研究基于对促进会议的观察以及对参与丹麦首都地区一个促进项目的卫生专业人员（13名全科医生、4名护士、1名内分泌学家）的访谈。
促进会议主要聚焦于与糖尿病治疗相关的药理学问题。受访者将促进会议描述为一次积极且具有激励作用的学习经历，并且他们中的大多数人能够指出具体的学习成果。
结果表明，对于特定的医学问题，一名经过培训的医学专家可以在全科医疗中担任促进者，令全科医生和工作人员满意。未来的研究应评估此类促进项目的临床效果。
