简短培训计划对菲律宾农村和偏远地区初级保健提供者的知识的影响:前后研究
Julianne Keane M Pascual1, Arianna Maever Loreche2,3, Regine Ynez H De Mesa4
1Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Acta medica Philippina
|February 3, 2025
概括
初级保健提供者培训研讨会显著提高了关于基本产妇和新生儿护理,儿童疾病,非传染性疾病和老年病学的知识. 这些短期收益凸显了持续教育和支持有效医疗保健提供的需要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健教育 医疗保健教育
- 主要护理是指初级护理.
背景情况:
- 初级保健提供者对于全民医疗保健 (UHC) 至关重要,但知识差距可能会阻碍质量护理.
- 菲律宾初级保健研究 (PPCS) 计划试行了加强初级保健系统的干预措施.
- 为农村和偏远地区的医疗保健提供者开发了基于证据的培训模块.
研究的目的:
- 评估基于证据的培训模块在增强初级保健提供者知识方面的有效性.
- 评估不同模块和提供者类型的知识改进.
主要方法:
- 在Sorsogon和Bataan (2018-2021) 为394名初级保健提供者 (护士,助产士,BHW) 进行了培训研讨会.
- 模块涵盖了基本的产妇和新生儿护理 (EINC),儿童疾病综合管理 (IMCI),非传染性疾病 (NCD) 和老年病.
- 使用多项选择题进行了前后测试,并使用配对t测试分析了数据.
主要成果:
- 在培训后的所有提供者类别和模块中观察到显著的知识改进.
- 助产士在EINC (32.9%),老年病 (25.0%) 和非传染性疾病 (13.5%) 中显示出最大的得分增加.
- 护士在IMCI (10.8%) 中表现出最大的改善,而BHW在NCD (9.0%) 中表现出最显著的增长.
结论:
- 短期,单次的初级保健工作坊有效地提高了提供者知识.
- 持续的知识和实践应用可能需要定期,多样化的学习干预措施和获得临床决策支持工具.
- 提高提供者能力对于推进UHC和提供优质医疗保健至关重要.
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