Artículo de revista
Influence of Physician Factors on the Effectiveness of a Continuing Medical Education Intervention
Fecha
2006Registro en:
Family Medicine. Vol. 38, Nº 7, 2006. pp. 511-517
Autor
Flores Carrasco, Sergio
Reyes, Hortensia
Pérez- Cuevas, Ricardo
Institución
Resumen
Background and Objectives: Continuing medical education (CME) is essential for improving the
quality of care in primary health care settings. This study’s objective was to determine how the
characteristics of family physicians influenced the effectiveness of a multifaceted CME intervention
to improve the management of acute respiratory infection (ARI) or type 2 diabetes (DM2). Methods:
A secondary analysis was conducted based on data from 121 family physicians, who participated
in the educational intervention study. The outcome variable was positive change in physician’s performance
for treatment of ARI or DM2. The exposure variable was multifaceted CME intervention.
Independent variables were professional physicians and organizational characteristics. Analysis
included log binomial regression modeling. Results: Factors influencing positive change included,
for ARI, participation in the CME intervention and medical director interested in that condition
and for DM2, participation in the CME intervention, medical director interested in DM2, and being
a teacher. Conclusions: Physicians’ characteristics and organizational environment influence the
effectiveness of educational intervention and are therefore relevant to the implementation of CME
strategies.