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Distance education with tutoring improves diarrhea case management
| Venue: | in Guatemala. Int J Qual Health Care 2002;14(suppl 1):47–56 |
| Citations: | 6 - 0 self |
BibTeX
@INPROCEEDINGS{Flores_distanceeducation,
author = {Rafael Flores and Junio Robles and Barton and R. Burkhalter},
title = {Distance education with tutoring improves diarrhea case management},
booktitle = {in Guatemala. Int J Qual Health Care 2002;14(suppl 1):47–56},
year = {}
}
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Abstract
Objective. To evaluate the impact of distance education in diarrhea and cholera case management on the quality of physicians ’ and nurses ’ practice. Design. The pre-post panel, program and control group design used trained physician observers to measure if doctors and nurses complied with case management standards. Extended observations and client exit interviews were used to analyze audience bias and the validity of counseling measurements. Setting. Health care facilities in six districts of Guatemala. Ministries of Health in four Central American countries and the Institute of Nutrition for Central America and Panama implemented the course. Study participants. The study panel consisted of 66 course graduates (program group) and 66 doctors and nurses who were interested in taking the course where the course was not offered (control group). Results. The percentage of diarrhea cases assessed correctly and dehydration cases classified correctly increased by 25% more in the program group than in the control group, but post-course performance was still only>60 % in the program group. Rehydration treatment did not improve. Counseling improved insignificantly. Client exit interviews suggested that indicators for counseling may need to be re-examined for validity. No audience effect on health worker practice was found. Completion rates were high. The program cost US$60 per enrollee.
Keyphrases
distance education improves diarrhea case management program group client exit interview dehydration case extended observation completion rate study participant central american country audience bias rehydration treatment health care facility case management standard health worker practice program cost u $60 control group design pre-post panel trained physician observer diarrhea case audience effect course graduate cholera case management study panel central america nurse practice post-course performance control group
