Clinical trial NCT02696551: Impact of Medical Education of Physician Action 2
Official title: Impact of Medical Education of Physician Action 2
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Spondyloarthritis
Keywords: Medical education
Spondyloarthritis
Physician action
Lead sponsor: Shanxi Dayi Hospital
Sponsor class: OTHER
First posted: 2016-03-02
Enrollment: 30
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: This is a retrospective and prospective designed study, included hospitals are 1:1 assigned into two groups: ①Interventional hospital, which will receive 3-month medical education; ②Non-interventional hospital, which will not receive 3-month medical education. During 1 month before education, all the electronic records of outpatients and inpatients who visit the included rheumatologists will be collected and the data of test and evaluation results of spondyloarthritis (SpA) patients diagnosed according to new Assessment of Spondylo-Arthritis International Society (ASAS) criteria will be collected from outpatient electronic records and inpatients medical charts; in the 3 months after education, the same data will be collected and compared with the data before education, and the impact of medical education on physician behaviour will be analyzed. Meanwhile, the understanding and acceptance level will be evaluated by the questionnaire, the differences before and after education and the impact of education on physician cognition will be evaluated.


Eligibility criteria: Interventional hospital will be selected based on following criteria:

1. having complete outpatients and inpatients electronic records;
2. more than 50% of registrars and/or consultants in the department participated the professional education event;
3. the department head is willing to participate the clinical audit and provide the information from outpatients and inpatients records for data collection;
4. except for rheumatic diseases have been clearly diagnosed.

Non-interventional hospital will be selected based on following criteria:

1. having complete outpatients and inpatients electronic records;
2. no professional education event covered;
3. the department head is willing to participate the clinical audit and provide the information from outpatients and inpatients records for data collection;
4. except for rheumatic diseases have been clearly diagnosed.

Primary outcomes:
measure: Mean of number of positive SpA feature of newly diagnosed patients with inflammatory back pain, before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
measure: Proportion of patients with a image examination of sacroiliitis ( x-rays, CT, or MRI) in the audit period, before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
measure: Proportion of patients with a assessment of disease activity in the audit period, before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
Secondary outcomes:
measure: Proportion of patients with a clear diagnosis (Diagnostic for Spondyloarthritis with new ASAS criteria) or receiving a new diagnosis in the audit period, before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
measure: Mean of the number of physical examinations of disease activity in the audit period, before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
measure: Change of questionnaire scores of physician in the audit period, before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
measure: Change of utilization rate of Non Steroidal Anti Inflammatory Drugs (NSAIDs) before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
measure: Change of utilization rate of biological medication before and after the (no-)event
timeFrame: 1 month before (no-) education vs. 3 months after (no-) education
Other outcomes:
Locations:
city: Taiyuan
country: China
facility: Shanxi Dayi Hospital
state: Shanxi
Study officials:
References: