A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai
Abstract Background Chronic pulmonary diseases such as chronic obstructive pulmonary disease (COPD) and asthma exert increasing burden on society while the management of them is far from adequate. The objective of this study is to evaluate adherence to guidelines through a patient study, and then in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-12-01
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| Series: | Clinical and Translational Medicine |
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| Online Access: | https://doi.org/10.1186/2001-1326-1-13 |
| _version_ | 1818302964962426880 |
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| author | Xiaocong Fang Shanqun Li Lei Gao Naiqing Zhao Xiangdong Wang Chunxue Bai |
| author_facet | Xiaocong Fang Shanqun Li Lei Gao Naiqing Zhao Xiangdong Wang Chunxue Bai |
| author_sort | Xiaocong Fang |
| collection | DOAJ |
| description | Abstract Background Chronic pulmonary diseases such as chronic obstructive pulmonary disease (COPD) and asthma exert increasing burden on society while the management of them is far from adequate. The objective of this study is to evaluate adherence to guidelines through a patient study, and then investigate the effects of a short‐term quality improvement educational program among clinicians in Shanghai, China. Methods A prescription survey was performed in a random sample of 100 COPD and asthma outpatients to assess their pharmacological therapy. Then, an educational program was conducted in young pulmonary physicians from 83 hospitals in Shanghai. The training course was divided into 7 sessions of 2 hours delivered over 4 days from July 2010 to August 2011. Three months later, all of the participants were asked to take a written examination to assess the efficiency of training. Results Prescription survey among the patients indicated the prescriptions are not consistent with the recommendations of current GOLD and GINA guidelines. The mainly existing issue is the overuse of inhaled glucocorticosteroid. For the educational program, 161 pulmonary physicians have attended the training course, and 110 clinicians finished the tests with an attendance rate of 68.3%. Although most of the clinicians recognized the increasing burden of COPD and asthma, they do not know well about the core elements of guidelines and their clinical practice is not fully in agreement with current recommendations. Through crossover comparison, our results suggested clinicians’ knowledge of the guidelines was improved after training. Conclusions We concluded that application of continuous educational programs among physicians might promote their adherence to guidelines, and by that improve the quality of healthcare. |
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| format | Article |
| id | doaj.art-3b66dd70a6504dc7b823ffda07ddd237 |
| institution | Directory Open Access Journal |
| issn | 2001-1326 |
| language | English |
| last_indexed | 2024-12-13T05:47:17Z |
| publishDate | 2012-12-01 |
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| series | Clinical and Translational Medicine |
| spelling | doaj.art-3b66dd70a6504dc7b823ffda07ddd2372022-12-21T23:57:38ZengWileyClinical and Translational Medicine2001-13262012-12-0111n/an/a10.1186/2001-1326-1-13A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in ShanghaiXiaocong Fang0Shanqun Li1Lei Gao2Naiqing Zhao3Xiangdong Wang4Chunxue Bai5Department of Pulmonary MedicineResearch Institute of Respiratory DiseaseFudan UniversityZhongshan Hospital200032ShanghaiPR ChinaDepartment of Pulmonary MedicineResearch Institute of Respiratory DiseaseFudan UniversityZhongshan Hospital200032ShanghaiPR ChinaDepartment of Pulmonary MedicineResearch Institute of Respiratory DiseaseFudan UniversityZhongshan Hospital200032ShanghaiPR ChinaCollege of public heathFudan University200032ShanghaiPR ChinaDepartment of Pulmonary MedicineResearch Institute of Respiratory DiseaseFudan UniversityZhongshan Hospital200032ShanghaiPR ChinaDepartment of Pulmonary MedicineResearch Institute of Respiratory DiseaseFudan UniversityZhongshan Hospital200032ShanghaiPR ChinaAbstract Background Chronic pulmonary diseases such as chronic obstructive pulmonary disease (COPD) and asthma exert increasing burden on society while the management of them is far from adequate. The objective of this study is to evaluate adherence to guidelines through a patient study, and then investigate the effects of a short‐term quality improvement educational program among clinicians in Shanghai, China. Methods A prescription survey was performed in a random sample of 100 COPD and asthma outpatients to assess their pharmacological therapy. Then, an educational program was conducted in young pulmonary physicians from 83 hospitals in Shanghai. The training course was divided into 7 sessions of 2 hours delivered over 4 days from July 2010 to August 2011. Three months later, all of the participants were asked to take a written examination to assess the efficiency of training. Results Prescription survey among the patients indicated the prescriptions are not consistent with the recommendations of current GOLD and GINA guidelines. The mainly existing issue is the overuse of inhaled glucocorticosteroid. For the educational program, 161 pulmonary physicians have attended the training course, and 110 clinicians finished the tests with an attendance rate of 68.3%. Although most of the clinicians recognized the increasing burden of COPD and asthma, they do not know well about the core elements of guidelines and their clinical practice is not fully in agreement with current recommendations. Through crossover comparison, our results suggested clinicians’ knowledge of the guidelines was improved after training. Conclusions We concluded that application of continuous educational programs among physicians might promote their adherence to guidelines, and by that improve the quality of healthcare.https://doi.org/10.1186/2001-1326-1-13Chronic obstructive pulmonary diseaseAsthmaCliniciansQuality improvement |
| spellingShingle | Xiaocong Fang Shanqun Li Lei Gao Naiqing Zhao Xiangdong Wang Chunxue Bai A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai Clinical and Translational Medicine Chronic obstructive pulmonary disease Asthma Clinicians Quality improvement |
| title | A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai |
| title_full | A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai |
| title_fullStr | A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai |
| title_full_unstemmed | A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai |
| title_short | A short‐term educational program improved physicians’ adherence to guidelines for COPD and asthma in Shanghai |
| title_sort | short term educational program improved physicians adherence to guidelines for copd and asthma in shanghai |
| topic | Chronic obstructive pulmonary disease Asthma Clinicians Quality improvement |
| url | https://doi.org/10.1186/2001-1326-1-13 |
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