Asthma education for Swedish primary care physicians - a study on the effects of "academic detailing" on practice and patient knowledge

Tomson, Y; Hasselström, Jan; Tomson, Göran; Åberg, H

doi:10.1007/s002280050361

Cited by 14 publications

(16 citation statements)

References 7 publications

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“…Tomson et al, study reported that there were changes in knowledge, attitudes and actual practice of Swedish primary care physicians after intervention messages concerning management of bronchial asthma. [11] A similar study by Rovithis et al, demonstrated an improvement in knowledge of PHC physicians serving a rural population on the island of Crete after a one-day educational course on bronchial asthma clinical guidelines. [8] These results stress the need for interventions in the form of frequent courses and continuing education to improve knowledge and practice of health care personnel about asthma and disease management.…”

Section: Discussionmentioning

confidence: 76%

“…The results were in agreement with other studies among PHC physicians and nurses. [10,11,13,[15][16][17] A study of the level of knowledge about childhood asthma showed that general practitioners scored well in most questions but had some defi ciencies particularly in distinguishing preventive therapy from symptom-relieving medication. [10] Pediatric nurses in the previous study had poor knowledge of exerciseinduced asthma, which is similar to the result of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have assessed the knowledge of bronchial asthma among physicians and health care providers. [8][9][10][11][12] Despite the availability of written protocols for diagnosis and management of bronchial asthma, yet still there is inadequate knowledge and application of these guidelines. [13][14][15] The aim of this study was to assess the knowledge of PHCCs personnel (physicians and nurses) in Dammam city, eastern Saudi Arabia, and to determine factors affecting their knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge about childhood bronchial asthma among primary health care personnel in eastern Saudi Arabia

Taha¹,

Sabr²,

Hamed

2014

Int J Med Public Health

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Background: Bronchial asthma (BA) is a chronic non-communicable disease affecting children and adults. Despite the availability of written guidelines for diagnosis and management, yet still knowledge and application were inadequate. The aim of this study was to assess asthma knowledge of primary health care centers (PHCCs) personnel in Dammam city, eastern Saudi Arabia. Materials and Methods: This was a cross-sectional study conducted in 22 PHCCs. The sample consisted of 194 personnel (50 physicians and 144 nurses). Data was collected through a self-administered questionnaire which contained 58 questions. Knowledge score about asthma was coded as good and poor. Descriptive statistics, paired t-test and logistic regression were used for statistical analysis. Results: The majority of PHCCs personnel (96.9%) had no postgraduate studies and 78.4% of them didn't receive any training about BA. More than half (55.2%) of the PHCCs personnel showed good total knowledge score about BA. Also, 81.8% of the physicians and 52.7% of the nurses had good total knowledge level regarding the total aspects of BA in children. Physicians had statistically higher mean knowledge score than nurses regarding all components and total knowledge scores. Knowledge about role of exercise and prognosis was inadequate. Being a physician, female, younger, less years of work in PHCCs were statistically signifi cant and associated with good knowledge level. Conclusions: There are still some defi ciencies in knowledge about different aspects related to bronchial asthma. It is recommended that both physicians and nurses receive training about national asthma guidelines through continuing medical education.

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge about childhood bronchial asthma among primary health care personnel in eastern Saudi Arabia

Taha¹,

Sabr²,

Hamed

2014

Int J Med Public Health

View full text Add to dashboard Cite

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“…Birçok ülkede bu hekim grubunun bilgi düzeylerini araştırmaya yönelik çalışmalar yapılmış ve ülkeler bazında hekimlerin farklı düzeylerde bilgiye sahip oldukları görülmüştür (18)(19)(20). Çalışmaların farklı tasarımları, farklı soruları içermeleri birbirleri ile karşılaştırma yapılmasına olanak sağlamıyor olsa da genel olarak her ülkede, birinci basamakta astım ve KOAH'lı hasta yönetiminde bilgi eksiklikleri olduğu söylenilebilir (18)(19)(20)(21). Birinci basamak hekimlerin uzmanlara göre solunum yolu hastalıklarına doğru tanı koyabilme oranlarının düşük olduğu (%42.4) özellikle vurgulanmıştır (22).…”

Section: Discussionunclassified

Assessing the knowledge in primary health care following an educational course structured in the context of gard chronic airway diseases national control program

Erkekol¹,

Köktürk²,

Mungan³

et al. 2017

Tuberk Toraks

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“…As a first step, we searched the literature for published studies and instruments to assess physician asthma knowledge. Although we found several studies addressing this issue, (9)(10)(11)(12)(13) their relevance was limited (i.e., based on earlier versions of guidelines or too narrow in scope).…”

Section: Instrument Developmentmentioning

confidence: 95%

Evaluation of Physicians' Knowledge of Asthma Diagnosis and Treatment Guidelines in a Health Maintenance Organization

Ricci¹,

Stewart²,

Gerstenblith³

et al. 2000

Pediatric Asthma, Allergy & Immunology

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Asthma management is a complex process requiring the active, significant, and consistent attention of physicians and patients. Physician knowledge regarding asthma care was evaluated in this study as part of a comprehensive health improvement strategy to improve the quality of asthma care in health maintenance organizations (HMOs). Sixty-eight randomly selected physicians who treat asthma patients were interviewed on basic clinical knowledge and specific applications of knowledge in four domains: assessment/diagnosis, pharmacological therapy, asthma triggers, and patient management/education (72% participation). The standardized interview, based on 1997 NIH/NHLBI Expert Panel Report 2: Guidelines for the Diagnosis and Management of Asthma, was administered by a pulmonologist. Each domain contributed 25 points to the overall score of 100 points. Physicians were trained in pediatrics (46%), internal medicine (28%), and family practice (22%). Mean overall asthma clinical knowledge score was 46 6 9. Mean domain-specific scores were also low ranging from 9 6 3 for asthma triggers to 13 6 3 for assessment/diagnosis. Physicians exhibited clear deficiencies in assessing asthma severity based on symptoms and pulmonary function. Limitations were also observed in knowledge of pharmacotherapy, asthma triggers and control measures, and patient education/management. Physicians' knowledge of NIH treatment guidelines was limited. Particularly important was the under assessment of asthma severity. Effective patient treatment and management depends upon accurate classification of asthma severity. To reduce asthma morbidity and mortality, education efforts should emphasize improving physicians' severity assessment through better ascertainment of asthma-related symptoms and increased use of objective measures of lung function. (Pediatr Asthma Allergy Immunol 2000;14[4]:277-285.) 277 1 Previously published as an abstract. Reference: Ricci J, Stewart W, Geringer W, Murphy S. Physicians' knowledge of NIH asthma treatment guidelines. Am J Resp Care Crit Care Med 1999; 159(3):A240.

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Asthma education for Swedish primary care physicians - a study on the effects of "academic detailing" on practice and patient knowledge

Abstract: The study shows differences between the intervention and control areas regarding the knowledge and practice of GPs after the intervention. We found changes in knowledge, attitudes and actual practice, the latter being measured by the prescriptions.

Cited by 14 publications

References 7 publications

Knowledge about childhood bronchial asthma among primary health care personnel in eastern Saudi Arabia

Knowledge about childhood bronchial asthma among primary health care personnel in eastern Saudi Arabia

Assessing the knowledge in primary health care following an educational course structured in the context of gard chronic airway diseases national control program

Evaluation of Physicians' Knowledge of Asthma Diagnosis and Treatment Guidelines in a Health Maintenance Organization

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