一项干预措施,以改善初级保健医生的基于证据的尼古丁处方
Alaina Martinez1, Payam Sazegar
1From the University of Arizona College of Medicine, Tucson, AZ (AM); and Kaiser Permanente San Diego Medical Center, San Diego, CA (PS).
一次简短的培训显著增加了初级保健医生 (PCP) 处方的组合尼古丁替代疗法 (cNRT). 这种干预改善了人们对这种有效的戒烟方法的信心和意图.
科学领域:
- 公共卫生 公共卫生
- 临床医学 临床医学
- 药物成科学 药物成科学
背景情况:
- 结合尼古丁替代疗法 (cNRT) 对戒烟非常有效,但初级保健医生 (PCP) 不充分利用.
- PCP之间的知识差距可能导致cNRT的处方不频繁.
研究的目的:
- 评估一个简短的教育干预措施的可行性和有效性,旨在增加PCP的cNRT处方.
- 评估PCP知识,态度和关于cNRT的处方行为的变化.
主要方法:
- 在一个大型综合卫生系统中实施了前后研究设计.
- 为PCP提供了30分钟的cNRT虚拟培训,随后进行了为期6周的沟通活动.
- 奇方位分析比较了干预前六个月和干预后六个月cNRT处方率.
主要成果:
- 在培训后,93%的医生报告了增加的信心,91%的积极态度和88%的意图开处方cNRT.
- 接受cNRT处方的患者数量在干预后从9%增加到23% (P < 0.001).
- 处方cNRT的医生比例从23%上升到37% (P < 0.001).
结论:
- 一个简短的虚拟教育干预有效地增加了PCP之间的cNRT处方.
- 解决处方医生的知识差距可以提高有效的戒烟疗法的利用率.
- 这项干预表明了一种可扩展的方法,以改善cNRT在初级保健机构的采用.
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