1. Structured education to improve primary‐care management of headache: how long do the benefits last? A follow‐up observational study
- Author
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Zaza Katsarava, Sulev Haldre, Mart Kals, B. Saar, M. Niibek, Timothy J. Steiner, Mark Braschinsky, and M. Arge
- Subjects
Adult ,Estonia ,Male ,myalgia ,medicine.medical_specialty ,Referral ,Migraine Disorders ,Medizin ,Primary care ,Structured education ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Continuing medical education ,General Practitioners ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,Baseline (configuration management) ,Referral and Consultation ,Aged ,Primary Health Care ,business.industry ,Age Factors ,Headache ,Disease Management ,Middle Aged ,medicine.disease ,Quality Improvement ,Neurology ,Migraine ,Physical therapy ,Education, Medical, Continuing ,Female ,Observational study ,Neurology (clinical) ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
BACKGROUND AND PURPOSE Our earlier study showed that structured education of general practitioners (GPs) improved their practice in headache management. Here the duration of this effect was assessed. METHODS In a follow-up observational study in southern Estonia, subjects were the same six GPs as previously, managing patients presenting with headache as the main complaint. Data reflecting their practice were collected prospectively during a 1-year period commencing 2 years after the educational intervention. The primary outcome measure was referral rate (RR) to neurological services. Comparisons were made with baseline and post-intervention data from the earlier study. RESULTS In 366 patients consulting during the follow-up period, the RR was 19.9%, lower than at baseline (39.5%; P more...
- Published
- 2017
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