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Evaluation of a Physician Education Intervention to Improve Primary Care for Low‐Back Pain IIImpact on Patients

 

作者: DAN,   CHERKIN RICHARD,   DEYO ALFRED,  

 

期刊: Spine  (OVID Available online 1991)
卷期: Volume 16, issue 10  

页码: 1173-1178

 

ISSN:0362-2436

 

年代: 1991

 

出版商: OVID

 

关键词: low-back pain;patient outcomes;patient satisfaction;continuing medical education;primary care

 

数据来源: OVID

 

摘要:

A physician education intervention was previously found to have significantly improved perceived physician knowledge, confidence, and patient-reassuring behavior in the treatment of low-back pain. This study examined whether this intervention, presented in a health maintenance organization clinic, had an effect on patient outcomes. Outcomes of care for 148 patients seen for low-back pain before the intervention were compared with outcomes of care for 157 patients seen after the intervention. Patients were telephoned 2–4 weeks after their back-pain visit and were asked about symptom improvement, amount of disability, and satisfaction with care. Satisfaction was measured with a three-dimensional instrument for low-back pain developed specifically for this study, which was found to be valid and reliable. The preintervention and postintervention patient cohorts were similar in terms of key baseline variables. Despite its apparent benefit to physicians, the intervention did not result in significant improvements in any patient outcomes, even for the subset of patients whose physicians had perceived the greatest benefit.

 

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