Effect of continued professional development on clinical performance in a public sector health care setting
To determine the effectiveness of intervention by education of doctors in improving the referral rate and quality in a public-sector healthcare setting. The quasi-experimental study was conducted from March to September 2012 at PNS Rahat Hospital in naval sailors' residential estate, Karsaz, Ka...
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| Veröffentlicht in: | Journal of the Pakistan Medical Association 2016-02, Vol.66 (2), p.174-178 |
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| creator | Azam, Naila Hassan, Uzma Farooq, Ayesha |
| description | To determine the effectiveness of intervention by education of doctors in improving the referral rate and quality in a public-sector healthcare setting.
The quasi-experimental study was conducted from March to September 2012 at PNS Rahat Hospital in naval sailors' residential estate, Karsaz, Karachi. Two awareness sessions were held three months apart by a gynaecologist and a paediatrician. The sessions were aimed at communicating the consultant practice to female general practitioners employed at the two family welfare centres. Pre- and post-intervention data was collected manually from the record registers at the two centers as well as gynaecology and paediatrics outpatient clinics.
The study comprised 10 female GPs. In paediatric clinic, there was 47% (118 post intervention/ 187 pre intervention) reduction in referrals for acute gastroenteritis and fever of unknown origin (32 post intervention/75 pre intervention). In gynaecology, 30% (50 post intervention/61 pre intervention) reduction was seen in referrals for severe anaemia in 2nd and 3rd trimesters of pregnancy, and an increase in referrals (35 post intervention/19 pre intervention) for high-risk cases indicating better counselling and case identification. Improved standard of counselling was also reflected by 31% reduced referrals (40 post intervention/ 58 pre intervention) for hyper-emesis gravidarum during the first trimester. The difference in referrals was not statistically significant (p>0.05) for paediatrics, but it was highly significant (p |
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The quasi-experimental study was conducted from March to September 2012 at PNS Rahat Hospital in naval sailors' residential estate, Karsaz, Karachi. Two awareness sessions were held three months apart by a gynaecologist and a paediatrician. The sessions were aimed at communicating the consultant practice to female general practitioners employed at the two family welfare centres. Pre- and post-intervention data was collected manually from the record registers at the two centers as well as gynaecology and paediatrics outpatient clinics.
The study comprised 10 female GPs. In paediatric clinic, there was 47% (118 post intervention/ 187 pre intervention) reduction in referrals for acute gastroenteritis and fever of unknown origin (32 post intervention/75 pre intervention). In gynaecology, 30% (50 post intervention/61 pre intervention) reduction was seen in referrals for severe anaemia in 2nd and 3rd trimesters of pregnancy, and an increase in referrals (35 post intervention/19 pre intervention) for high-risk cases indicating better counselling and case identification. Improved standard of counselling was also reflected by 31% reduced referrals (40 post intervention/ 58 pre intervention) for hyper-emesis gravidarum during the first trimester. The difference in referrals was not statistically significant (p>0.05) for paediatrics, but it was highly significant (p<0.001) for gynaecology.
Healthcare system can function optimally with focus on referral standards and by improving the communication between the primary care physicians and consultants.</description><identifier>ISSN: 0030-9982</identifier><identifier>PMID: 26819163</identifier><language>eng</language><publisher>Pakistan: Knowledge Bylanes</publisher><subject>Education - methods ; Education - organization & administration ; Education, Medical, Continuing - methods ; Education, Medical, Continuing - organization & administration ; Educational Measurement ; Gynecology - education ; Health care reform ; Humans ; Interdisciplinary Communication ; Medical care quality ; Pakistan ; Pediatrics - education ; Physicians, Primary Care - education ; Physicians, Primary Care - standards ; Professional development ; Public sector ; Quality Improvement ; Referral and Consultation - standards ; Staff Development - methods ; Staff Development - organization & administration</subject><ispartof>Journal of the Pakistan Medical Association, 2016-02, Vol.66 (2), p.174-178</ispartof><rights>COPYRIGHT 2016 Knowledge Bylanes</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26819163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azam, Naila</creatorcontrib><creatorcontrib>Hassan, Uzma</creatorcontrib><creatorcontrib>Farooq, Ayesha</creatorcontrib><title>Effect of continued professional development on clinical performance in a public sector health care setting</title><title>Journal of the Pakistan Medical Association</title><addtitle>J Pak Med Assoc</addtitle><description>To determine the effectiveness of intervention by education of doctors in improving the referral rate and quality in a public-sector healthcare setting.
The quasi-experimental study was conducted from March to September 2012 at PNS Rahat Hospital in naval sailors' residential estate, Karsaz, Karachi. Two awareness sessions were held three months apart by a gynaecologist and a paediatrician. The sessions were aimed at communicating the consultant practice to female general practitioners employed at the two family welfare centres. Pre- and post-intervention data was collected manually from the record registers at the two centers as well as gynaecology and paediatrics outpatient clinics.
The study comprised 10 female GPs. In paediatric clinic, there was 47% (118 post intervention/ 187 pre intervention) reduction in referrals for acute gastroenteritis and fever of unknown origin (32 post intervention/75 pre intervention). In gynaecology, 30% (50 post intervention/61 pre intervention) reduction was seen in referrals for severe anaemia in 2nd and 3rd trimesters of pregnancy, and an increase in referrals (35 post intervention/19 pre intervention) for high-risk cases indicating better counselling and case identification. Improved standard of counselling was also reflected by 31% reduced referrals (40 post intervention/ 58 pre intervention) for hyper-emesis gravidarum during the first trimester. The difference in referrals was not statistically significant (p>0.05) for paediatrics, but it was highly significant (p<0.001) for gynaecology.
Healthcare system can function optimally with focus on referral standards and by improving the communication between the primary care physicians and consultants.</description><subject>Education - methods</subject><subject>Education - organization & administration</subject><subject>Education, Medical, Continuing - methods</subject><subject>Education, Medical, Continuing - organization & administration</subject><subject>Educational Measurement</subject><subject>Gynecology - education</subject><subject>Health care reform</subject><subject>Humans</subject><subject>Interdisciplinary Communication</subject><subject>Medical care quality</subject><subject>Pakistan</subject><subject>Pediatrics - education</subject><subject>Physicians, Primary Care - education</subject><subject>Physicians, Primary Care - standards</subject><subject>Professional development</subject><subject>Public sector</subject><subject>Quality Improvement</subject><subject>Referral and Consultation - standards</subject><subject>Staff Development - methods</subject><subject>Staff Development - organization & administration</subject><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkV1LwzAYhXuhuDn9CxIQxJtK2nw1l2PMDxh4o9clTd9s0TSpTSv4741sggNJIHB4zuF9T06yOcYE51JW5Sw7j_EN45IzjM-yWcmrQhaczLP3tTGgRxQM0sGP1k_Qon4IBmK0wSuHWvgEF_oOfKI80s56q5Pew2DC0CmvAVmPFOqnxlmNYooLA9qBcuMOaTVAksaUvL3ITo1yES4P7yJ7vV-_rB7zzfPD02q5ybcEyzFnnFWCCGk0llqBpMaUrdKFKaFMMqeNUEywpqq0qJhUnLZCE0rSpUUjJFlkt_vctMfHBHGsOxs1OKc8hCnWheAFZbKkZUKv9-hWOaitN2EclP7B6yVlRSVExX-ou3-odFrobKoNjE36keHmj2FfRQxuGlOl8Ri8Oow6NR20dT_YTg1f9e8HkW98EIn6</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Azam, Naila</creator><creator>Hassan, Uzma</creator><creator>Farooq, Ayesha</creator><general>Knowledge Bylanes</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Effect of continued professional development on clinical performance in a public sector health care setting</title><author>Azam, Naila ; Hassan, Uzma ; Farooq, Ayesha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g309t-56587379fc09cae94ff2dac1f2e237964b7a575b88c7859a64d7c34334341b793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Education - methods</topic><topic>Education - organization & administration</topic><topic>Education, Medical, Continuing - methods</topic><topic>Education, Medical, Continuing - organization & administration</topic><topic>Educational Measurement</topic><topic>Gynecology - education</topic><topic>Health care reform</topic><topic>Humans</topic><topic>Interdisciplinary Communication</topic><topic>Medical care quality</topic><topic>Pakistan</topic><topic>Pediatrics - education</topic><topic>Physicians, Primary Care - education</topic><topic>Physicians, Primary Care - standards</topic><topic>Professional development</topic><topic>Public sector</topic><topic>Quality Improvement</topic><topic>Referral and Consultation - standards</topic><topic>Staff Development - methods</topic><topic>Staff Development - organization & administration</topic><toplevel>online_resources</toplevel><creatorcontrib>Azam, Naila</creatorcontrib><creatorcontrib>Hassan, Uzma</creatorcontrib><creatorcontrib>Farooq, Ayesha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azam, Naila</au><au>Hassan, Uzma</au><au>Farooq, Ayesha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of continued professional development on clinical performance in a public sector health care setting</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><addtitle>J Pak Med Assoc</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>66</volume><issue>2</issue><spage>174</spage><epage>178</epage><pages>174-178</pages><issn>0030-9982</issn><abstract>To determine the effectiveness of intervention by education of doctors in improving the referral rate and quality in a public-sector healthcare setting.
The quasi-experimental study was conducted from March to September 2012 at PNS Rahat Hospital in naval sailors' residential estate, Karsaz, Karachi. Two awareness sessions were held three months apart by a gynaecologist and a paediatrician. The sessions were aimed at communicating the consultant practice to female general practitioners employed at the two family welfare centres. Pre- and post-intervention data was collected manually from the record registers at the two centers as well as gynaecology and paediatrics outpatient clinics.
The study comprised 10 female GPs. In paediatric clinic, there was 47% (118 post intervention/ 187 pre intervention) reduction in referrals for acute gastroenteritis and fever of unknown origin (32 post intervention/75 pre intervention). In gynaecology, 30% (50 post intervention/61 pre intervention) reduction was seen in referrals for severe anaemia in 2nd and 3rd trimesters of pregnancy, and an increase in referrals (35 post intervention/19 pre intervention) for high-risk cases indicating better counselling and case identification. Improved standard of counselling was also reflected by 31% reduced referrals (40 post intervention/ 58 pre intervention) for hyper-emesis gravidarum during the first trimester. The difference in referrals was not statistically significant (p>0.05) for paediatrics, but it was highly significant (p<0.001) for gynaecology.
Healthcare system can function optimally with focus on referral standards and by improving the communication between the primary care physicians and consultants.</abstract><cop>Pakistan</cop><pub>Knowledge Bylanes</pub><pmid>26819163</pmid><tpages>5</tpages></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Education - methods Education - organization & administration Education, Medical, Continuing - methods Education, Medical, Continuing - organization & administration Educational Measurement Gynecology - education Health care reform Humans Interdisciplinary Communication Medical care quality Pakistan Pediatrics - education Physicians, Primary Care - education Physicians, Primary Care - standards Professional development Public sector Quality Improvement Referral and Consultation - standards Staff Development - methods Staff Development - organization & administration |
| title | Effect of continued professional development on clinical performance in a public sector health care setting |
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