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基层医疗中的过敏教育需求。EAACI 基层医疗工作组调查结果,旨在探讨管理过敏患者的信心和转介患者的机会。

Current allergy educational needs in primary care. Results of the EAACI working group on primary care survey exploring the confidence to manage and the opportunity to refer patients with allergy.

机构信息

Allergy Department, Hospital los Madroños, Brunete, Madrid, Spain.

Usher Institute, University of Edinburgh, UK.

出版信息

Allergy. 2022 Feb;77(2):378-387. doi: 10.1111/all.15084. Epub 2021 Sep 17.

Abstract

UNLABELLED

The aim of this survey was to explore the specific educational needs of a cohort of European GPs with regards to allergy training so that future educational initiatives may better support the delivery of allergy services in primary care.

METHOD

This study took the form of a cross-sectional observational study in which a structured electronic questionnaire was distributed to primary care providers, in eight languages, across 8 European countries between September 2019 and November 2019. Data associated with demographic parameters, professional qualifications, type of employment, level of confidence regarding competencies for diagnosis and treatment of allergic diseases, referral of patients to allergist and preferred method of learning and assessment were collected. A 5-point Likert scale was used to assess level of confidence. Exploratory analysis was carried out.

RESULTS

A total of 687 responses were available for analysis, with 99.3% of responders working within Europe. 70.1% of participants were female; and 48.0% and 48.0% of participants respectively had received some undergraduate and/or postgraduate allergy education. Confidence in dealing with different aspect of allergy management differed between countries. The main reason for specialist referral was a perceived need for tertiary assessment (54.3%), and the main barrier for referral was the consideration that the patient's condition could be appropriately diagnosed and treated in a primary care facility. Up to 44.7% and 55.3% of participants reported that they preferred e-Learning over traditional learning.

CONCLUSIONS

This study identified the specific areas of skills training and educational needs of GPs in managing allergic conditions in primary care, and provided insights into possible strategies for more feasible and cost-effective approaches.

摘要

目的

本研究旨在调查具有过敏培训需求的欧洲全科医生的具体教育需求,以便未来的教育计划能够更好地支持初级保健中的过敏服务。

方法

这是一项在 2019 年 9 月至 11 月期间,以跨学科观察性研究的形式,在 8 个欧洲国家以 8 种语言向初级保健提供者分发结构电子问卷的研究。收集的数据与人口统计学参数、专业资格、就业类型、诊断和治疗过敏疾病的能力的信心程度、患者转诊给过敏专家的情况以及首选的学习和评估方法相关。采用 5 点李克特量表评估信心程度。进行了探索性分析。

结果

共分析了 687 份有效回复,99.3%的回复者在欧洲工作。70.1%的参与者为女性;分别有 48.0%和 48.0%的参与者接受过本科和/或研究生过敏教育。不同国家对过敏管理不同方面的处理信心程度存在差异。转诊的主要原因是认为需要进行三级评估(54.3%),转诊的主要障碍是认为患者的病情可以在初级保健机构中得到适当诊断和治疗。多达 44.7%和 55.3%的参与者表示,他们更喜欢电子学习而不是传统学习。

结论

本研究确定了初级保健中管理过敏症的全科医生在技能培训和教育需求方面的具体领域,并提供了有关更可行和更具成本效益的方法的可能策略的见解。

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