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Long-term outcomes of physician peer teaching
Noreen M Clark1, Michael Cabana, Niko Kaciroti
1Center for Managing Chronic Disease, University of Michigan, MI, USA. nmclark@umich.edu
Clinical Pediatrics
|October 4, 2008
Summary
Physician peer training improved pediatric asthma care, leading to fewer symptoms and reduced healthcare use for children. Patients also reported better views of their doctors
Area of Science:
- Pediatric Pulmonology
- Medical Education
- Health Services Research
Background:
- Asthma management in children requires effective physician clinical and counseling skills.
- Peer teaching interventions can enhance healthcare provider skills and patient outcomes.
Purpose of the Study:
- To evaluate the long-term impact of a peer teaching intervention on pediatric asthma outcomes.
- To assess improvements in patient-reported outcomes, symptom reduction, healthcare utilization, and physician performance ratings.
Main Methods:
- A multi-city study involving 101 pediatricians (53 intervention, 48 control) and 870 pediatric asthma patients.
- Data collected at baseline and 2-year follow-up via telephone interviews and medical records.
- Intent-to-treat analyses using Poisson regression and generalized estimating equations.
Main Results:
- Patients of intervention physicians rated their performance higher (P=.02).
- Asthma symptom-related sleep disruptions decreased (P=.03).
- Significant reductions in emergency department visits (P=.005), hospitalizations (P=.03), urgent visits (P=.001), and phone calls (P=.02) were observed in patients with prior healthcare use.
Conclusions:
- Physician peer training positively impacts patient views of clinician performance.
- The intervention effectively reduced pediatric asthma symptoms and healthcare utilization for up to two years.
- Peer teaching is a viable strategy for enhancing pediatric asthma management and improving patient outcomes.
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