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1
Asthma and chronic obstructive pulmonary disease guideline implementation: lessons learned on recruitment of primary care physicians to a knowledge translation study.哮喘和慢性阻塞性肺疾病指南实施:从一项知识转化研究招募初级保健医生中学到的经验。
Can Respir J. 2013 Jul-Aug;20(4):275-80. doi: 10.1155/2013/364817.
2
Major care gaps in asthma, sleep and chronic obstructive pulmonary disease: a road map for knowledge translation.哮喘、睡眠和慢性阻塞性肺疾病的主要护理差距:知识转化路线图。
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4
[Assessing the knowledge in primary health care following an educational course structured in the context of GARD chronic airway diseases national control program].[在全球哮喘防治创议(GARD)慢性气道疾病国家控制项目背景下构建的教育课程之后评估初级卫生保健知识]
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Int J Qual Health Care. 2012 Oct;24(5):538-46. doi: 10.1093/intqhc/mzs043. Epub 2012 Aug 14.

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8
Pneumocafé project: an inquiry on current COPD diagnosis and management among General Practitioners in Italy through a novel tool for professional education.“肺科咖啡馆”项目:通过一种新型专业教育工具对意大利全科医生当前慢性阻塞性肺疾病的诊断和管理情况进行调查。
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本文引用的文献

1
The Physicians' Practice Assessment Questionnaire on asthma and COPD.哮喘和 COPD 医师实践评估问卷。
Respir Med. 2011 Jan;105(1):8-14. doi: 10.1016/j.rmed.2010.07.022. Epub 2010 Aug 24.
2
Canadian Thoracic Society Asthma Management Continuum--2010 Consensus Summary for children six years of age and over, and adults.加拿大胸科协会哮喘管理连续性--2010 年共识总结,适用于 6 岁及以上儿童和成人。
Can Respir J. 2010 Jan-Feb;17(1):15-24. doi: 10.1155/2010/827281.
3
A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations.系统评价理论在指南传播和实施策略设计中的应用,以及对严格评估结果的解释。
Implement Sci. 2010 Feb 9;5:14. doi: 10.1186/1748-5908-5-14.
4
Knowledge translation is the use of knowledge in health care decision making.知识转化是指在医疗保健决策中应用知识。
J Clin Epidemiol. 2011 Jan;64(1):6-10. doi: 10.1016/j.jclinepi.2009.08.016.
5
The utilization of appropriate osteoporosis medications improves following a multifaceted educational intervention: the Canadian quality circle project (CQC).一项多方面的教育干预措施(加拿大质量圈项目)可提高适当的骨质疏松症药物的利用率。
BMC Med Educ. 2009 Aug 6;9:54. doi: 10.1186/1472-6920-9-54.
6
Comparison of recruitment efforts targeted at primary care physicians versus the community at large for participation in Alzheimer disease clinical trials.比较针对初级保健医生和整个社区的招募工作,以招募参与阿尔茨海默病临床试验的人员。
Alzheimer Dis Assoc Disord. 2010 Apr-Jun;24(2):165-70. doi: 10.1097/WAD.0b013e3181aba927.
7
Offering payments, reimbursement and incentives to patients and family doctors to encourage participation in research.向患者和家庭医生提供报酬、报销和激励措施,以鼓励他们参与研究。
Fam Pract. 2009 Jun;26(3):231-8. doi: 10.1093/fampra/cmp011. Epub 2009 Mar 3.
8
Factors distinguishing general practitioners who more readily participated in a large randomized trial were identified.
J Clin Epidemiol. 2009 Jan;62(1):67-73. doi: 10.1016/j.jclinepi.2008.02.014. Epub 2008 Jul 10.
9
Balancing participation and expertise: a comparison of locally and centrally managed health care quality improvement within primary care practices.平衡参与度与专业知识:基层医疗实践中本地管理与中央管理的医疗质量改进比较
Qual Health Res. 2007 Nov;17(9):1268-79. doi: 10.1177/1049732307307447.
10
Suboptimal asthma control: prevalence, detection and consequences in general practice.哮喘控制不佳:全科医疗中的患病率、检测及后果
Eur Respir J. 2008 Feb;31(2):320-5. doi: 10.1183/09031936.00039707. Epub 2007 Oct 24.

哮喘和慢性阻塞性肺疾病指南实施:从一项知识转化研究招募初级保健医生中学到的经验。

Asthma and chronic obstructive pulmonary disease guideline implementation: lessons learned on recruitment of primary care physicians to a knowledge translation study.

机构信息

Institut universitaire de cardiologie et de pneumologie de Quebéc, Université Laval, Québec.

出版信息

Can Respir J. 2013 Jul-Aug;20(4):275-80. doi: 10.1155/2013/364817.

DOI:10.1155/2013/364817
PMID:23936886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3956338/
Abstract

BACKGROUND

Implementation of current clinical practice guidelines in asthma and chronic obstructive pulmonary disease (COPD) is suboptimal. New implementation strategies should be developed and evaluated.

METHODS

The authors report the rationale and planned methods of a project that sought to use a multifaceted knowledge translation intervention consisting of interactive education, mentorship through quality circles and practice-based tools in primary care to address key asthma and COPD care gaps. The present study was aborted due to inadequate primary care physician recruitment. Accordingly, the authors provide a critical review of their recruitment strategies and discuss alternative approaches and examples based on previous literature.

DISCUSSION

These practical lessons and discussion seek to inform researchers involved in designing and recruiting for future knowledge translation studies addressing chronic disease management in primary care.

摘要

背景

目前在哮喘和慢性阻塞性肺疾病(COPD)的临床实践指南的实施情况并不理想。应该开发和评估新的实施策略。

方法

作者报告了一个项目的基本原理和计划方法,该项目试图使用多方面的知识转化干预措施,包括初级保健中的互动教育、通过质量圈进行指导以及基于实践的工具,以解决哮喘和 COPD 护理方面的关键差距。由于初级保健医生的招聘不足,本研究被中止。因此,作者对其招聘策略进行了批判性评估,并根据以往文献讨论了替代方法和示例。

讨论

这些实用的经验教训和讨论旨在为参与设计和招募未来知识转化研究的研究人员提供信息,这些研究旨在解决初级保健中的慢性疾病管理问题。