A Multifaceted Education Intervention for Improving Family Physicians' Case Management

Family Medicine

Volumn 41, Issue 4, 2009, Pages 277-284

  Reyes Morales, Hortensia ^a,b   Flores Hernàndez, Sergio ^a   Tomé Sandoval, Patricia ^a   Pérez Cuevas, Ricardo ^a  

^a INSTITUTO MEXICANO DEL SEGURO SOCIAL   (Mexico)

^b INSTITUTO NACIONAL DE SALUD PÚBLICA   (Mexico)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; ANTIPYRETIC AGENT;

ADOLESCENT; ADULT; AGED; ARTICLE; CALCULATION; CASE MANAGEMENT; CHILD; CLINICAL EDUCATION; COMPARATIVE STUDY; CONTROLLED STUDY; EVIDENCE BASED PRACTICE; FAMILY MEDICINE; FEMALE; GENERAL PRACTITIONER; HEALTH; HEALTH CARE COST; HUMAN; INTERVENTION STUDY; MALE; OTITIS; OUTCOME ASSESSMENT; OUTPATIENT DEPARTMENT; PEER REVIEW; PHARYNGITIS; PRACTICE GUIDELINE; PRESCRIPTION; RESPIRATORY TRACT INFECTION; RHINOPHARYNGITIS; SINUSITIS;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CASE MANAGEMENT; CASE-CONTROL STUDIES; CHILD; CHILD, PRESCHOOL; CLINICAL COMPETENCE; EDUCATION; EDUCATION, MEDICAL, CONTINUING; FAMILY PRACTICE; FEMALE; HUMANS; INFANT; MALE; MEXICO; MIDDLE AGED; MULTICENTER STUDIES AS TOPIC; NATIONAL HEALTH PROGRAMS; OUTCOME ASSESSMENT (HEALTH CARE); RESPIRATORY TRACT INFECTIONS;

EID: 66249099898     PISSN: 07423225     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (44)

1. Cantillon P, Jones R. Does continuing medical education in general practice make a difference? BMJ 1999;318(7193):1276-9.
2. Jones R, Higgs R, de Angelis C, Prideaux D. Changing face of medical curricula. Lancet 2001;357(9257):699-703.
3. Davis D, O'Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor- Vaisey A. Impact of formal continuing medical education: do confer- ences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA 1999;282(9):867-74.
4. Stuart J, Rutherford RJ. Medical student concentration during lectures. Lancet 1978;2(8088):514-6.
5. Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282(15):1458-65.
6. Pérez-Cuevas R, Muñoz O, Guiscafré H, Reyes H, Tomé P, Gutiérrez G. [Patterns of therapeutic prescription in diarrhea and acute respiratory infections in two health institutions: SS and IMSS. Characteristics of medical prescribing]. Spanish. Gac Med Mex 1992;128:531-41.
7. Pérez-Cuevas R, Guiscafré H, Muñoz O, et al. Improving physician prescribing patterns to treat rhinopharyngitis. Intervention strategies in two health systems of Mexico. Soc Sci Med 1996;42(8):1185-94.
8. García de Alba J, Ríos-González J, Castañeda-Parra R. [Several clinic and epidemiologic aspects of diabetes mellitus]. Spanish. Salud Publica Mex 1989;31(5):669-73.
9. Murray S, Mar CD, O'Rourke P. Predictors of an antibiotic pre- scription by GPs for respiratory tract infections: a pilot. Fam Pract 2000;17(5):386-8.
10. Cadieux GM, Tamblyn R, Dauphinee D, Libman M. Predictors of inap- propriate antibiotic prescribing among primary care physicians. CMAJ 2007;177(8):877-83.
11. Ashworth M, Cox K, Latinovic R, Charlton J, Gulliford M, Rowlands G. Why has antibiotic prescribing for respiratory illness declined in primary care? A longitudinal study using the General Practice Research Database. J Public Health 2004;26(3):268-74.
12. Hopstaken R, Butler C, Muris J, et al. Do clinical fndings in lower respiratory tract infection help general practitioners prescribe antibiotics appropriately? An observational cohort study in general practice. Fam Pract 2006;23(2):180-7.
13. Fox RD. Using theory and research to shape the practice of continu- ing professional development. J Contin Educ Health Prof 2000; 20(4):238-46.
14. Fox RD, Bennett NL. Continuing medical education: learning and change: implications for continuing medical education. BMJ 1998;316(7129):466-8.
15. Flores Hernández S, Trejo y Pérez JA, Reyes Morales H, Pérez Cuevas R, Guiscafré Gallardo H. [Clinical guideline for diagnosis, treatment, and prevention of acute respiratory infections] Spanish. Rev Med IMSS 2003;41(suppl) S3-S14.
16. Pérez-Cuevas R, Reyes H, Guiscafré H, et al. The primary care clinic as a setting for continuing medical education: program description. CMAJ 2000;163(10):1295-9.
17. Jack B, Shang Y. Estimating policy and program effects with obser- vational data: the "differences-in-differences" estimator. Practical Assessment, Research & Evaluation 2003;8(24).
18. Macfarlane J, Holmes W, Macfarlane R, Britten N. Influence of patients' expectations on antibiotic management of acute lower re- spiratory tract illness in general practice: questionnaire study. BMJ 1997;315(7117):1211-4.
19. Hamm RM, Hicks RJ, Bemben DA. Antibiotics and respiratory infec- tions: are patients more satisfed when expectations are met? J Fam Pract 1996;43(1):56-62.
20. Laing R, Hogerzeil H, Ross-Degnan D. Ten recommendations to improve use of medicines in developing countries. Health Policy Plan 2001;16(1):13-20.
21. Soumerai SB, McLaughlin TJ, Avorn J. Improving drug prescribing in primary care: a critical analysis of the experimental literature. Milbank Q 1989;67(2):268-317.
22. Avorn J. Improving the quality and cost-effectiveness of prescribing. Pharmacoeconomics 1992;1(Suppl 1):45-8.
23. Angunawela I, Diwan V, Tomson G. Experimental evaluation of the ef- fects of drug information on antibiotic prescribing: a study in outpatient care in an area of Sri Lanka. Int J Epidemiol 1991;20(2):558-64.
24. Steinman MA, Ranji SR, Shojania KG, Gonzales R. Improving antibi- otic selection. A systematic review and quantitative analysis of quality improvement strategies. Med Care 2006;44(7):617-28.
25. Oxman A, Thomson MA, Davis D, Haynes RB. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAJ 1995;153(10):1423-31.
26. Mazmanian P, Davis DA. Continuing medical education and the physi- cian as a learner. Guide to the evidence. JAMA 2002;288(9):1057-60.
27. Guiscafré H, Martínez H, Reyes H, et al. From research to public health interventions. I. Impact of an educational strategy for physicians to improve treatment practices in common diseases. Arch Med Res 1995;26(Suppl):S31-S39.
28. Gutiérrez G, Guiscafré H, Bronfman M, Walsh J, Martínez H, Mun̈oz O. Changing physician prescribing patterns: evaluation of an educational strategy for acute diarrhea in Mexico City. Med Care 1994;32(5):436-46.
29. Bojalil R, Guiscafré H, Espinosa P, et al. A clinical training unit for diarrhea and acute respiratory infections: an intervention for primary care physicians in Mexico. Bull WHO 1999;77(11):936-45.
30. Zwar N, Wolk J, Gordon J, Sanson-Fisher R, Kehoe L. Infuencing antibiotic prescribing in general practice: a trial of prescriber feedback and management guidelines. Fam Pract 1999;16(5):495-500.
31. Welschen I, Kuyvenhoven MM, Hoes AW, Verheij TJM. Effectiveness of a multiple intervention to reduce antibiotic prescribing for respira- tory tract symptoms in primary care: randomised control trial. BMJ doi:10.1136/bmj.38182. 591238.EB (published August 5, 2004).
32. Samore MH, Bateman K, Alder SC, et al. Clinical decision sup- port and appropriateness of antimicrobial prescribing. JAMA 2005;294(18):2305-14.
33. Gonzales R, Steiner JF, Lum A, Barrett PH. Decreasing antibiotic use in ambulatory practice: impact of a multidimensional intervention on the treatment of uncomplicated acute bronchitis in adults. JAMA 1999; 281(16):1512-9.
34. National Health Medical Research Council. A guide to the development, implementation, and evaluation of clinical practice guidelines. Com- monwealth of Australia. Canberra, Australia: National Health Medical Research Council, 1999.
35. Soumerai SB, Avorn J. Principles of educational outreach ("aca- demic detailing") to improve clinical decision making. JAMA 1990;263(4):549-56.
36. Spike N, Alexander H, Elliott S, et al. In-training assessment-its po- tential in enhancing clinical teaching. Med Educ 2000;34(10):858-61.
37. Greco PJ, Eisenberg JM. Changing physicians' practices. N Engl J Med 1993;329(17):1271-4.
38. Smith F, Singleton A, Hilton S. General practitioners' continuing education: a review of policies, strategies, and effectiveness and their implications for the future. Br J Gen Pract 1998;48(435):1689-95.
39. Viniegra L. [The progress in medicine]. Spanish. Rev Invest Clin (Mex) 1994;46(2):149-56.
40. Maudsley G, Strivens J. Promoting professional knowledge, experi- ential learning, and critical thinking for medical students. Med Educ 2000;34(7):535-44.
41. Viniegra L. [The way of the criticism and education]. Spanish. Rev Invest Clin (Mex)1996;48(2):139-58.
42. Prideaux D, Alexander H, Bower A, et al. Clinical teaching: maintain- ing an educational role for doctors in the new health care environment. Med Educ 2000;34(10):820-6.
43. Flores S, Reyes H, Pérez-Cuevas R. Infuence of physician factors on the effectiveness of a continuing medical education intervention. Fam Med 2006;38(7):511-7.
44. Zyzanski SJ, Stange KC, Langa D, Flocke S. Trade-offs in high volume primary care practice. J Fam Pract 1998;46(5):397-402.