| Evaluation of a workshop on evidence-based medicine for social insurance physicians. | |
| | |
MedLine Citation:
|
PMID: 18204004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Evidence-based medicine (EBM), a comprehensive method to support clinical decision making by using evidence, has been instrumental in clinical specialties but not yet in insurance medicine. AIMS: We developed and evaluated a workshop on EBM for Dutch social insurance physicians who perform disability evaluations. METHODS: Sixty-six social insurance physicians followed a 1-day introductory workshop that focused on teaching two EBM core skills: to ask answerable questions and to search for the best evidence. All outcomes were measured before, immediately after and 3 months after the workshop by means of self-assessment. The primary outcomes were knowledge, skills, attitude and intention to apply EBM in practice. The secondary outcomes were social influence, self-efficacy and behaviour. RESULTS: Immediately after the workshop, a marked and significant improvement was seen in self-assessed skills (mean difference 4.2, 95% CI 3.7-4.6) and in self-efficacy to apply EBM (mean difference 0.7, 95% CI 0.6-0.8). For attitude, knowledge and intention, the improvements were small. Three months after the workshop, the improvements in skills (mean difference 2.3, 95% CI 1.8-2.9) and self-efficacy (mean difference 0.5, 95% CI 0.3-0.6) remained significant. CONCLUSIONS: The workshop improved self-assessed EBM skills and self-efficacy both in the short and long term. The workshop also resulted in limited short-term improvements in self-assessed knowledge and in the intention to apply EBM in practice. The EBM approach can be successfully taught to social insurance physicians working in the field of disability evaluation. |
| | |
Authors:
|
Rob Kok; Jan L Hoving; Jos H Verbeek; Frederieke G Schaafsma; Paul B A Smits; Frank J H van Dijk |
Related Documents
:
|
21690104 - Speed: fast computation of sensitive spaced seeds. 6454264 - Social security disability amendments of 1980: legislative history and summary of provi... 20185064 - Children's health insurance program and pediatric nurses. 10182744 - Avoiding the known prior acts exclusion when insuring newly acquired entities. 21566024 - Description and evaluation of the 2009-2010 pennsylvania influenza sentinel school moni... 17310744 - Student nurses' perceptions of their contact time with stakeholders in their clinical i... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Multicenter Study Date: 2008-01-18 |
Journal Detail:
|
Title: Occupational medicine (Oxford, England) Volume: 58 ISSN: 0962-7480 ISO Abbreviation: Occup Med (Lond) Publication Date: 2008 Mar |
Date Detail:
|
Created Date: 2008-02-25 Completed Date: 2008-07-30 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9205857 Medline TA: Occup Med (Lond) Country: England |
Other Details:
|
Languages: eng Pagination: 83-7 Citation Subset: IM |
Affiliation:
|
Research Center for Insurance Medicine AMC-UWV-VUmc, Amsterdam, The Netherlands. r.kok@amc.uva.nl |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Clinical Competence Decision Making Disability Evaluation* Education, Medical, Continuing / methods* Evidence-Based Medicine / education* Female Health Knowledge, Attitudes, Practice Humans Male Middle Aged Netherlands Occupational Medicine / education* Self Efficacy Social Security* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Obesity and risk of job disability in male firefighters.
Next Document: Psychopathological features of a patient population of targets of workplace bullying.