Gask L, Usherwood T, Thompson H, Williams B
Department of Psychiatry, University of Manchester, UK.
Med Educ. 1998 Mar;32(2):190-8. doi: 10.1046/j.1365-2923.1998.00195.x.
This study aimed to evaluate the impact on the behaviour and attitudes of experienced general practitioners of a 10-hour training package in the assessment and management of depression. Twenty general practitioners participated. Both subjective and objective assessments were carried out which suggested significant improvements in both assessment and management skills. However, subjectively reported changes were not always supported by the objective data obtained from rating role-played interviews. The role-played patients rated the doctors as better communicators after training. All participants felt attending the course was beneficial. They all felt more confident in their abilities to deal with depression and said the skills they had learnt on the course would be useful to them in their future work. An outcome study is now underway in order to assess whether the training package, which has been demonstrated to have an impact on the behaviour, skills and attitudes of doctors, has an impact on the health of patients.
本研究旨在评估一个为期10小时的抑郁症评估与管理培训套餐对经验丰富的全科医生的行为和态度的影响。20名全科医生参与其中。研究进行了主观和客观评估，结果表明评估和管理技能均有显著提高。然而，主观报告的变化并不总是得到从角色扮演访谈评分中获得的客观数据的支持。经过培训后，扮演患者的人将医生评为更好的沟通者。所有参与者都认为参加该课程有益。他们都对自己应对抑郁症的能力更有信心，并表示他们在课程中学到的技能对他们未来的工作会有用。目前正在进行一项结果研究，以评估这个已被证明对医生的行为、技能和态度有影响的培训套餐是否对患者的健康有影响。
