Impact of Education for Physicians on Patient Outcomes

Clark, Noreen M.; Gong, Molly; Schork, M. Anthony; Evans, David; Roloff, Dietrich W.; Hurwitz, Martin E.; Maiman, Lois A.; Mellins, Robert B.

doi:10.1542/peds.101.5.831

Cited by 289 publications

(239 citation statements)

References 14 publications

Supporting

Mentioning

221

Contrasting

Unclassified

Order By: Relevance

“…The four studies [14][15][16][17] included analyses of health benefits to patients with asthma following CME delivered to GPs in the United States, 14,15 Netherlands, 16 and England. 17 They reported varying levels of success in terms of benefits to patients.…”

Section: Resultsmentioning

confidence: 99%

“…17 They reported varying levels of success in terms of benefits to patients. Clarke et al 14 assessed changes in use of health care services for asthma following an interactive seminar for GPs. The intervention group had fewer hospital admissions, Emergency Department visits, scheduled visits for asthma, and number of days with symptoms in spring and summer, but only for patients who began using inhaled corticosteroids during the trial.…”

Section: Resultsmentioning

confidence: 99%

“…These studies found little evidence of benefits to patients in terms of improved control of asthma, asthma symptoms, and quality of life. One study 14 demonstrated that education for general practice paediatricians reduced the number For personal use only. Not to be reproduced without the permission of the Primary Care Respiratory Journal of days with symptoms and use of acute emergency care for asthma, but only in a sub-group of patients who began using corticosteroids during the study.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Continuing medical education for asthma in primary care settings: a review of randomised controlled trials

2003

View full text Add to dashboard Cite

Background: The aim of this paper is to review evidence of the effectiveness of educational interventions for General Practitioners for health outcomes of patients with asthma. Methods:The 'Research and Development Resource Base in CME' was searched in addition to searches of the Cochrane, Medline, CINAHL and ERIC databases for original articles published between 1966 and October 2002. Inclusion criteria for the studies were that, the study was a randomised controlled trial (RCT), that the intervention included physician education, and that the effect of the intervention on patient health outcomes was reported.Results: Three studies were identified that met our selection criteria and had an appropriate study design. One of these studies found health benefits for paediatric patients however these benefits were mostly lost when patients were followed up two years later. The other two studies found no health benefits from provider education. Conclusions: Based on the studies available, no recommendations can be made on the effectiveness of CME for improving health outcomes of patients with asthma. However, absence of evidence does not imply absence of effect, so further controlled trials are needed to evaluate the effectiveness of this intervention in primary care settings. The challenges of conducting trials in primary care settings are discussed.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Continuing medical education for asthma in primary care settings: a review of randomised controlled trials

2003

View full text Add to dashboard Cite

show abstract

“…In addition, the development of communication and teaching skills for physicians and nurses involved in asthma management fulfils a need not often met through formal medical education. Newer educational modalities, such as case-based or video scenario studies, with immediate discussion and feedback, may help increase the ability of the multi-disciplinary team to include the concept of concordance and mutual goal-setting with the patient [60].…”

Section: Patient-focused Carementioning

confidence: 99%

Asthma management: Are GINA guidelines appropriate for daily clinical practice?

Yawn

Molen

Humbert

2005

Primary Care Respiratory Journal

View full text Add to dashboard Cite

SummaryAn international group of primary care asthma experts, as well as pulmonologists and allergists from Europe and the US, met to discuss asthma management focused on the primary care office. This paper summarizes their discussions. Accuracy of diagnosis and appropriateness of treatment is variable depending on the clinical circumstances and patient group. The value of classifying patients based on baseline or static asthma severity scores remains controversial, and asthma management decisions based on symptom control appear to have greater practical utility in a primary care setting. Furthermore, it must be recognized that patients, caregivers and physicians may have differing, and possibly conflicting, goals for therapy. There are many initiatives to improve the quality of asthma management, for example, primary care-focused guidelines being developed by the International Primary Care Respiratory Group, and several groups are working on asthma control scores. In addition, new therapies may improve the options available for increasing compliance and reducing side effects. In conclusion, asthma management should be patient-focused, with outcomes relevant to improving the quality of life for people with asthma.

show abstract

“…• Taking guidelines down to the workplace Key studies in the USA amongst paediatricians 3 and UK in primary care 4 have given examples of how such practice based, interactive education may be undertaken, and the degree of success that can be expected.…”

Section: Such Guidelines Thusmentioning

confidence: 99%

What are we trying to achieve with asthma management and how do we monitor it?

Partridge

2001

Prim Care Respir J

View full text Add to dashboard Cite

Impact of Education for Physicians on Patient Outcomes

Cited by 289 publications

References 14 publications

Continuing medical education for asthma in primary care settings: a review of randomised controlled trials

Continuing medical education for asthma in primary care settings: a review of randomised controlled trials

Asthma management: Are GINA guidelines appropriate for daily clinical practice?

What are we trying to achieve with asthma management and how do we monitor it?

Contact Info

Product

Resources

About