弗吉尼亚州家庭医生和内科医生对老年医学教育的兴趣。

E. D. Perez, T. Mulligan, M. E. Meyers
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引用次数: 11

摘要

为了确定初级保健医生对老年医学继续医学教育(CME)的兴趣,作者调查了弗吉尼亚州所有家庭执业(FP)医生和内科(IM)医生,共1882人。61%(1139名)的医生做出了回应,其中56%是计划生育医生,44%是IM医生。在视觉模拟量表上衡量医生对老年医学教育的兴趣(从1 =不重要到10 =非常重要),FP医生的平均得分为6.4;IM医师的平均得分为6.1分。首选的教育形式是为期两到三天的会议,首选的主题是急症护理、长期护理和康复。逐步多元回归显示,医生参加老年医学附加资格考试的意向是他们对老年医学教育感兴趣的主要预测因子(R2 = 0.12, p = 0.0001)。同样重要的因素还有医生提供的老年护理总量、他们提供的家访、他们之前参加的老年医学CME会议、对医疗保险制度不持消极态度,以及他们对自己目前的老年医学知识缺乏信心。最终模型可以解释这些医生对未来老年医学CME的兴趣的20% (R2 = .20)。这些发现可能有助于老年病教育者开发方法来教育初级保健提供者有关老年病。
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Interest in geriatrics education among family practitioners and internists in Virginia.
To determine primary care physicians' interest in continuing medical education (CME) in geriatrics, the authors surveyed all Virginia family practice (FP) physicians and internal medicine (IM) physicians, a total of 1,882. Sixty-one percent (1,139) responded, of which 56% were FP physicians and 44% were in IM. On a visual analog scale to measure the physicians' interest in geriatrics education (from 1 = unimportant to 10 = very important), the FP physicians' mean score was 6.4; the IM physicians' mean score was 6.1. The preferred form of education was a two-to-three-day conference, and the preferred topics were acute care, long-term care, and rehabilitation. Stepwise multiple regression showed that the physicians' intent to take the Added Qualifications in Geriatric Medicine examination was the major predictor of their interest in geriatrics education (R2 = .12, p = .0001). Also significant contributors were the total amount of geriatric care the physicians provided, the home visits they provided, their prior participation in geriatrics CME conferences, absence of a negative attitude toward the Medicare system, and their lack of confidence in their current knowledge of geriatrics. The final model could account for 20% of these physicians' interest in future CME in geriatrics (R2 = .20). These findings may help geriatrics educators develop methods to educate primary care providers about geriatrics.
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