Universität zu Köln

Redaelli, Marcus, Vollmar, Horst Christian, Simic, Dusan, Maly-Schuerer, Cornelia, Loescher, Susanne and Koneczny, Nikolaus (2015). Guideline implementation study on asthma: Results of a pragmatic implementation approach. Z. Evidenz Fortbild. Qual. Gesundheitswesen, 109 (2). S. 124 - 132. JENA: ELSEVIER GMBH, URBAN & FISCHER VERLAG. ISSN 2212-0289

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Abstract

Objective: Knowledge transfer from theory to practice in healthcare systems poses a challenge worldwide. Typical examples include national disease management guidelines. The present study contributes towards improving implementation strategies for an asthma guideline. Methods: A guideline implementation strategy was examined in a four-armed, non-randomised, controlled intervention study with an additional control group. The study participants were general practitioners and paediatricians recruited from primary care quality circles. All study participants attended an interactive seminar on the evidence-based recommendations for patients with asthma. In addition, the participants were asked to choose among the following options: no further intervention, additional e-learning, training of their practice nurses, or e-learning and training of their practice nurses. The success of the intervention was measured by questionnaire (and the success rate expressed as a percentage). Results: About one third of all participants (n =313) opted for the combination of an interactive seminar and a training of practice nurses; two third preferred the classic way of continuing medical education with an interactive seminar without a further intervention. Just 10% of the physicians participated in e-learning. Independently of their choice for continuing medical education, all participants demonstrated an increase in knowledge about asthma and an improvement in the management of asthma. The physicians exhibited an average increase in both categories of about 10% of the percentage values, compared to an increase of about 28% among the practice nurses without continuing medical education. Conclusions: The physicians' free choice of the educative modules might be an integral part of successful implementation strategies. However, this will require a change of focus from general continuing medical education packages to a more individualised culture of continuing professional development in Germany.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Redaelli, Marcus UNSPECIFIED UNSPECIFIED UNSPECIFIED Vollmar, Horst Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Simic, Dusan UNSPECIFIED UNSPECIFIED UNSPECIFIED Maly-Schuerer, Cornelia UNSPECIFIED UNSPECIFIED UNSPECIFIED Loescher, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Koneczny, Nikolaus UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-419780
DOI:	10.1016/j.zefq.2015.04.015
Journal or Publication Title:	Z. Evidenz Fortbild. Qual. Gesundheitswesen
Volume:	109
Number:	2
Page Range:	S. 124 - 132
Date:	2015
Publisher:	ELSEVIER GMBH, URBAN & FISCHER VERLAG
Place of Publication:	JENA
ISSN:	2212-0289
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41978