Department of Obstetrics and Gynecology, University of Wisconsin, Milwaukee, WI, USA.
J Perinat Med. 2012 Jun;40(4):403-12. doi: 10.1515/jpm-2012-0022.
The purpose of this survey was to assess the knowledge gap of recommendations in practice bulletins (PBs). A survey consisting of three questions for 12 selected PBs (six obstetric and six gynecologic) was developed and sent to members of the Central Association. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Of the 385 active members, 100 (26%) returned the survey. The overall correct score was 49%. Respondents were significantly more likely to know recommendations in obstetric PBs (60%) than gynecologic PBs (39%; OR 2.45, 95% CI 2.12-2.81). Maternal-fetal medicine sub-specialists (n=27), compared with obstetricians-gynecologists (n=66), did significantly better with obstetric PBs (67% vs. 59%; OR 1.42, 95% CI 1.32-1.77) and substantially worse with gynecologic topics (34% vs. 39%; OR 0.79, 95% CI 0.63-0.98). In conclusion, since members of the Central Association have a substantial knowledge gap, there are ample opportunities to educate and reinforce PB recommendations.
这项调查的目的是评估实践公报（PB）中的推荐建议的知识差距。我们开发了一份包含 12 项选定 PB（6 项产科和 6 项妇科）的三个问题的调查，并将其发送给中央协会的成员。计算了比值比（OR）和 95%置信区间（CI）。在 385 名活跃成员中，有 100 名（26%）返回了调查。总的正确得分为 49%。回答者更有可能了解产科 PB 中的推荐建议（60%），而不是妇科 PB（39%；OR2.45，95%CI2.12-2.81）。与妇产科医生（n=66）相比，母胎医学专科医生（n=27）在产科 PB 方面表现明显更好（67%比 59%；OR1.42，95%CI1.32-1.77），而在妇科主题方面表现明显更差（34%比 39%；OR0.79，95%CI0.63-0.98）。总之，由于中央协会的成员存在很大的知识差距，因此有很多机会可以教育和加强 PB 建议。
