A eficiência do ensino a distância em otorrinolaringologia como método de capacitação de médicos da atenção primária do distristo sanitário norte do município de Belo Horizonte
| Ano de defesa: | 2011 |
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| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | |
| Tipo de documento: | Dissertação |
| Tipo de acesso: | Acesso aberto |
| Idioma: | por |
| Instituição de defesa: |
Universidade Federal de Minas Gerais
UFMG |
| Programa de Pós-Graduação: |
Não Informado pela instituição
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| Departamento: |
Não Informado pela instituição
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| País: |
Não Informado pela instituição
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| Palavras-chave em Português: | |
| Link de acesso: | http://hdl.handle.net/1843/BUOS-8M7GPM |
Resumo: | Otorhinolaryngologic diseases or demonstrations have a high prevalence in primary care. Consequently, there is an overload of referrals to secondary attention. This study evaluated and compared the effectiveness of distance education as a means to promote training in Otorhinolaryngology of the primary care physicians. The study was carried out in the health centers of north regional health district of the city of Belo Horizonte. Participating doctors were divided randomly into three study groups. The first group was composed of physicians who participated in the intervention via video lessons. The second group was composed of doctors who participated via telereporting. And finally, the third group was composed of physicians who participated in the intervention by telereporting and video lessons. To verify the training of primary care physicians were assessed the attitude, knowledge and skill before and after the intervention. In order to assess the attitude we checked out the reasons and the routing number of Otorhinolaryngology of primary to the secondary before and after the process of distance education. After the interventions there was a decrease of 16% in the number of referrals of first consultation of primary to the secondary. Regarding the acquisition of knowledge was used questionnaire with 33 issues with themes of Otorhinolaryngology before and after the intervention. Was verified a theoretical performance improvement in video lessons and telereporting/video lessons groups. The average grades before and after intervention in video lessons group were 21.08 and 24.25, respectively, corresponding to an improvement in overall performance of 3.18 to 3.464 (p = 0.002). In the telereporting/video lessons group the average grades before and after the intervention were 22.66 and 25.9 respectively, indicating an improvement in the overall performance of 3.13 to 3.68 (p = 0.001). In the telereporting group the average grades before and after the intervention were 21.08 and 20.66 respectively, showing that there was no significant change in overall performance that changed to 2.2.95 91 (p = 0.294). In assessing the skill, the diagnostic concordance was used using the Kappas test. In none of the three groups, there was significant improvement in skill (p < 0.001). This study showed that the improvement of theoretical performance was not enough to improve the skill in Otorhinolaryngology of the primary care doctors. The methods of teaching based on the individual difficulties and with skill training seems to be a strategy more efficient for continuous medical education in primary care |