Physicians' Knowledge of Inhaler Devices and Inhalation Techniques Remains Poor in Spain
Por:
Plaza, V, Sanchis, J, Roura, P, Molina, J, Calle, M, Quirce, S, Viejo, JL, Caballero, F, Murio, C
Publicada:
1 feb 2012
Resumen:
Background: Studies in many countries in the 1990s revealed deficiencies in physicians' knowledge about inhalation therapy. In an attempt to remedy this situation, Spanish scientific societies implemented a variety of educational strategies. The objective of the present study was to assess changes in attitudes and knowledge about inhalers and inhalation techniques in a sizable sample of physicians.
Methods: An 11-question multiple choice test was developed and administered throughout Spain to practicing physicians from specialties that frequently prescribe inhaler devices. The survey collected demographic characteristics (four items), preferences (two items), and issues related to knowledge (three items) and education (two items) about devices and inhalation techniques. Completion of the questionnaire was voluntary, individual, and anonymous.
Results: A total of 1514 respondents completed the questionnaire. Dry powder inhalers (DPI) were preferred by 61.2% physicians, but only 46.1% identified "inhale deeply and forcefully'' as the most significant step in the inhalation maneuver using these devices. Only 27.7% stated that they always checked the patient's inhalation technique when prescribing a new inhaler. A composite variable, general inhaled therapy knowledge, which pooled the correct answers related to knowledge, revealed that only 14.2% physicians had an adequate knowledge of inhaled therapy. Multivariate analysis showed that this knowledge was lowest among internal medicine and primary care physicians.
Conclusions: Prescribers' knowledge of inhalers and inhalation techniques remains poor in Spain. The causes should be identified in further research to allow effective educational strategies to be developed. Specific educational policies should be addressed to general practitioners.
Filiaciones:
Plaza, V:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Serv Pneumol, Barcelona 08025, Spain
Sanchis, J:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Serv Pneumol, Barcelona 08025, Spain
Roura, P:
Hosp Gen Vic, Serv Clin Epidemiol, Vic, Spain
Molina, J:
Hlth Ctr France I, Fuenlabrada, Madrid, Spain
Calle, M:
Univ Complutense Madrid, Hosp Clin San Carlos, Serv Pneumol, Madrid, Spain
Quirce, S:
Hosp La Paz Hlth Res Inst IdiPAZ, Dept Allergy, Madrid, Spain
Viejo, JL:
Complejo Asistencial Univ Burgos, Burgos, Spain
Caballero, F:
Univ Francisco de Vitoria, Sch Med, Pozuelo De Alarcon, Madrid, Spain
Murio, C:
Med Dept Chiesi Spain, Barcelona, Spain
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