Linn B S
JAMA. 1980 Aug 8;244(6):565-70. doi: 10.1001/jama.244.6.565.
The impact of continuing education in emergency room burn care was evaluated in a 20-hospital controlled study. The process of care provided by 298 physicians for 2,492 treated and released patients and 172 admitted patients was significantly improved in experimental hospitals where training had been compared with control hospitals. Outcomes of care, such as mortality, morbidity, compliance with medical regimens, and satisfaction with care, were significantly correlated with process. Two outcomes were influenced significantly between experimental and control patients. In the treated and released group, experimental patients complied more frequently with medical regimens. In the admitted group, experimental patients ahd fewer early complications from their burns. The study demonstrates that practice of physicians can be altered favorably by continuing education; however, there is still room for much improvement in emergency medical services.
在一项针对20家医院的对照研究中，对急诊室烧伤护理继续教育的影响进行了评估。在接受培训的实验医院中，与对照医院相比，298名医生为2492名接受治疗并出院的患者以及172名住院患者提供的护理过程有了显著改善。护理结果，如死亡率、发病率、医疗方案的依从性以及对护理的满意度，与护理过程显著相关。在实验组和对照组患者之间，有两个结果受到了显著影响。在接受治疗并出院的组中，实验组患者更频繁地遵守医疗方案。在住院组中，实验组患者烧伤后的早期并发症较少。该研究表明，继续教育可以有效地改变医生的执业行为；然而，急诊医疗服务仍有很大的改进空间。
