Saturno P J
University of Murcia School of Medicine, Espinardo, Spain.
Int J Qual Health Care. 1995 Jun;7(2):119-26. doi: 10.1093/intqhc/7.2.119.
To test the advantages of training and of a trainee-centered educational strategy for the implementation of quality evaluation and improvement (QI) activities in Health Centres (HCs).
Experimental, with random assignment of HCs to three different groups, two for two different training methods and one as control group. Each group had 10 HCs.
HCs network of the region of Murcia (Spain).
Selected PHC personnel, grouped by study groups.
One of the groups (GI) received trainee-centered training on QI methods with problem-solving oriented methodology. A second group (GII) received more traditional training. The third group (GIII) received no training.
GI showed significantly higher scores than GII regarding both their subjective appraisal of the training experience, and actual implementation of activities. No QI activity was found in any GIII Center. We conclude that the importance of training in the implementation of QI activities has been confirmed, and also that training method does matter.
检验培训以及以学员为中心的教育策略在健康中心（HCs）实施质量评估与改进（QI）活动方面的优势。
实验性研究，将健康中心随机分为三组，两组采用两种不同的培训方法，一组作为对照组。每组有10个健康中心。
西班牙穆尔西亚地区的健康中心网络。
选定的初级卫生保健人员，按研究小组分组。
其中一组（GI）接受以学员为中心的关于QI方法的培训，采用以问题解决为导向的方法。第二组（GII）接受更传统的培训。第三组（GIII）不接受培训。
在对培训经历的主观评价和活动的实际实施方面，GI的得分均显著高于GII。在任何一个GIII中心均未发现QI活动。我们得出结论，已证实培训在实施QI活动中的重要性，并且培训方法也很重要。
