评价家庭健康战略团队的继续教育，以早期发现疑似儿童癌症病例。
Evaluation of continuing education of family health strategy teams for the early identification of suspected cases of cancer in children.
机构信息
Unidade de Pesquisa Clínica, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz ( Fiocruz ), Av. Rui Barbosa 716 Flamengo, Rio de Janeiro, 22250-020, Rio de Janeiro, Brazil.
出版信息
BMC Med Educ. 2017 Sep 7;17(1):155. doi: 10.1186/s12909-017-0993-1.
BACKGROUND
This study evaluated the influence of continuing education of family health strategy teams by the Ronald McDonald Institute program on the early diagnosis of cancer in children and adolescents.
METHODS
The study applied Habicht's model to evaluate the adequacy and plausibility of continuing education by using as outcome the number of children with suspected cancer who were referred to the hospital of references in the 1 year before and 1 year after intervention and the number of patients referred by intervention group and control group family health strategy teams. Medical records from each hospital of reference were used to collect information of suspect cases of cancer. Descriptive analyses were performed using frequencies and mean values. Chi-square tests were used to assess statistically significant differences between the groups and periods by using p-values < 0.05.
RESULTS
The results showed a 30.6% increase in the number of children referred to the hospital of reference for suspected cancer in the post-intervention period; in addition, the family health strategy teams that underwent the intervention referred 3.6 times more number of children to hospital of references than did the control group. Only the intervention group showed an increase in the number of confirmed cases.
CONCLUSIONS
This evaluation of a continuing education program for early identification of pediatric cancer showed that the program was adequate in achieving the established goals and that the results could be attributed to the program.
背景
本研究评估了罗纳德·麦克唐纳研究所计划对家庭健康战略团队的继续教育对儿童和青少年癌症早期诊断的影响。
方法
该研究应用哈比希特模型评估继续教育的充分性和合理性，将干预前 1 年和干预后 1 年疑似癌症儿童被转介至参考医院的数量以及干预组和对照组家庭健康战略团队转介的患者数量作为结果。参考医院的病历用于收集疑似癌症病例的信息。使用频率和平均值进行描述性分析。使用 p 值 < 0.05 的卡方检验评估组间和期间的统计学差异。
结果
结果显示，干预后疑似癌症儿童转介至参考医院的数量增加了 30.6%；此外，接受干预的家庭健康战略团队转介至参考医院的儿童数量是对照组的 3.6 倍。只有干预组的确诊病例数量有所增加。
结论
本研究对儿童癌症早期识别的继续教育计划进行了评估，结果表明该计划在实现既定目标方面是充分的，并且可以归因于该计划。
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