Effectiveness of patient education in improving appropriateness of care of clinicians / (Record no. 4009)

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fixed length control field 02481nam a22001697a 4500
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control field DOH
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control field 20210414123614.0
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245 00 - TITLE STATEMENT
Title Effectiveness of patient education in improving appropriateness of care of clinicians /
Statement of responsibility, etc. Maria Elinore M. Alba, Noel Espallardo
520 3# - SUMMARY, ETC.
Summary, etc. Background: Clinical Practice Guidelines are made to help practitioners in decision making towards improving appropriateness of care. However, successful implementation strategies are still lacking. Patient mediated intervention as away of CPG implementation is being recommended.<br/><br/>Methods: This study is a three-phase, randomized controlled trial. Following a 3-month baseline period, a one-hour interactive lecture on guideline recommendations was conducted among family medicine residents. After 3 months, clinic days were randomized to days with and days without public health lecture. A one-hour interactive lecture on the recommendations on sinusitis and rhinitis was conducted on patients at the out-patient waiting area on pre-selected days. Appropriateness of care by chart audit was done at every phase.<br/><br/>Results: Baseline appropriateness of care was low at 10.8 percent on history taking and physical examination, 56.8 percent on request for diagnostics, 75.7 percent on antibiotic prescription, 48.6 percent on overall treatment. Referrals at baseline were appropriately high at 94.6 percent. Interactive lecture did not increase appropriateness of care. The addition of public health lecture significantly increased appropriateness in history taking and physical examination to 25.9 percent, and request of diagnostics to 70.6 percent. No change noted on antibiotic prescription at 41.2 percent, overall treatment at 41.2 percent and referrals at 88.2 percent.<br/><br/>Conclusions: The addition of public health lecture to interactive lecture was effective in increasing appropriateness of care in history and physical examination and request of diagnostics.<br/><br/>Objectives<br/>To determine the effectiveness of public health lecture to patients combined with interactive lecture on physicians regarding guidelines for rhinitis and sinusitis in improving appropriateness of care compared with interactive lecture alone.
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note <br/><br/>The Filipino Family Physician, 2001 39 ( 3 ) pages 69-73
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Patient Education as Topic
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Alba, Maria Elinore M.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Espallardo, Noel
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Shelving location Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 04/14/2021   J000462 D0001J000462 04/14/2021 04/14/2021 Journal Article