Teasdale S, Bainbridge M
Department of General Practice, University of Nottingham.
Proc AMIA Annu Fall Symp. 1997:687-92.
Information management training has been neglected in family practice in the UK in the past. An adult learning model for such training is introduced. A pilot study using the adult learning approach showed improvements in information management processes over the six-month study period. The research project described in this paper compares the effectiveness of on-site training using adult learning methods, written information, and no intervention, in 33 family practices in the UK. Nine of the eleven practices in the on-site training group completed the training sessions and eight provided full data, whereas only one of the eleven practices in the written information group, and only one of the eleven practices in the control group provided full data. Preliminary analysis demonstrates that on-site training practices made considerable changes to the information systems in their practices, and appreciated the importance of high-quality data, both for patient care and reporting requirements. Full comparisons of data quality and information management methods are presented, and an assessment of priority training needs for maximum benefit is made.
过去,信息管理培训在英国的家庭医疗中一直被忽视。本文引入了一种针对此类培训的成人学习模式。一项采用成人学习方法的试点研究表明,在为期六个月的研究期间,信息管理流程有所改善。本文所述的研究项目比较了在英国33个家庭医疗中使用成人学习方法进行现场培训、提供书面信息以及不进行干预这三种方式的效果。现场培训组的11个医疗实践中有9个完成了培训课程,其中8个提供了完整数据;而书面信息组的11个医疗实践中只有1个,对照组的11个医疗实践中也只有1个提供了完整数据。初步分析表明,接受现场培训的医疗实践对其信息系统进行了重大变革,并认识到高质量数据对于患者护理和报告要求的重要性。文中给出了数据质量和信息管理方法的全面比较,并对能实现最大效益的优先培训需求进行了评估。