Dunn E V, Bass M J, Williams J I, Borgiel A E, MacDonald P, Spasoff R A
Department of Family and Community Medicine, University of Toronto, Ontario.
J Med Educ. 1988 Oct;63(10):775-84. doi: 10.1097/00001888-198810000-00005.
A random sample of 120 physicians in Ontario was studied to assess quality of care in primary care and test an hypothesis that quality of care was related to continuing medical education (CME) activities. The quality-of-care scores were obtained by an in-office audit of a random selection of charts. The scores were global scores for charting, prevention, the use of 13 classes of drugs, and care of a two-year period for 182 different diagnoses. There were no relationships between global quality-of-care scores based on these randomly chosen charts and either the type or quantity of the physicians' CME activities. These activities were reading journals, attending rounds, attending scientific conferences, having informal consultations, using audio and video cassettes, and engaging in self-assessment. The implications of these findings are significant for future research in CME and for planners of present CME programs.
对安大略省120名医生的随机样本进行了研究，以评估初级保健中的医疗质量，并检验一个假设，即医疗质量与继续医学教育（CME）活动有关。通过对随机抽取的病历进行办公室审核来获得医疗质量得分。这些得分是关于病历记录、预防、13类药物的使用以及针对182种不同诊断的两年期护理的综合得分。基于这些随机选择的病历得出的总体医疗质量得分，与医生CME活动的类型或数量之间均无关联。这些活动包括阅读期刊、参加查房、参加科学会议、进行非正式会诊、使用音频和视频磁带以及进行自我评估。这些研究结果对于CME未来的研究以及当前CME项目的规划者具有重要意义。
