Lee Gerald B, Le Tao T
Section of Allergy and Immunology, Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky.
Section of Allergy and Immunology, Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky.
Pediatr Allergy Immunol Pulmonol. 2013 Sep;26(3):110-114. doi: 10.1089/ped.2013.0265. Epub 2013 Aug 30.
Despite the proven efficacy of the National Heart, Lung, and Blood Institute asthma guidelines, adherence to these recommendations is suboptimal among primary care physicians. Knowledge, skills, and attitudes among pediatricians influence adherence to the asthma guidelines. Workshop-based provider education interventions demonstrate short-term improvement in knowledge, but do not lead to long-term changes in patient outcomes. Comprehensive quality improvement interventions that integrate education and process changes yield the best results in improving asthma care in children.
尽管美国国立心肺血液研究所的哮喘指南已证实具有疗效,但基层医疗医生对这些建议的依从性仍不理想。儿科医生的知识、技能和态度会影响对哮喘指南的依从性。基于研讨会的医疗服务提供者教育干预措施显示出知识方面的短期改善,但不会导致患者预后的长期变化。将教育与流程变革相结合的综合质量改进干预措施在改善儿童哮喘护理方面产生的效果最佳。