背景:全科医生是法国最早的言语治疗处方者,一个语言治疗师只能根据医学处方进行练习的国家。这项研究的目的是测量全科医生对语言治疗方法的了解。
方法:通过自我问卷对法国全科医生和全科医生进行横断面研究。该测试评估了五种有助于正确处方言语疗法的知识:处方要求,适应症,处方措辞,接受治疗的年龄,和报销。问卷在专家人群中进行了测试,他们的中位数得分被用作分界点,以将知道言语治疗处方方式的医生与知识不足的医生分开。采用多因素logistic回归分析比较两组的差异特征。
结果:纳入了500名全科医生和500名全科医生;82.3%的医生撰写了论文,86.2%的居民对言语治疗处方的方式认识不足。年龄,自获得医学文凭和城市实践以来的几年时间都对全科医生的言语治疗知识产生了负面影响。
结论:法国全科医生对言语治疗处方的了解似乎不足。因此,有必要改善医生的初始和持续培训。全科医生和言语治疗师之间的协作工作应该进行,发展和加强。
BACKGROUND: General practitioners are the first prescribers of speech therapy in France, a country in which speech therapists can practice only on medical prescription. The objective of this study was to measure general practioner\'s knowledge on means of prescribing speech therapy.
METHODS: Cross-sectional study by self-questionnaires for general practitioners and residents in general practice in France. The test assessed five types of knowledge conducive to correct prescription of speech therapy: requirements for prescription, indications, prescription wording, ages of treatment eligibility, and reimbursement. The questionnaires were tested on an expert population, whose median score was used as a cut-off to separate doctors who knew the modalities of speech therapy prescription from those whose knowledge was insufficient. The characteristics differentiating the two groups were compared by multiple logistic regression.
RESULTS: Five hundred and three general practitioners and five hundred and two residents in general medicine were included; 82.3% of the physicians having written a thesis and 86.2% of the residents had insufficient knowledge of the modalities of speech therapy prescription. Age, number of years since acquisition of a medical diploma and urban practice all had a negative impact on general practitioners\' knowledge of speech therapy.
CONCLUSIONS: French general practitioners\' knowledge of speech therapy prescription seems insufficient. It is consequently necessary to improve the initial and continuing training of doctors. Collaborative work between general practitioners and speech therapists should be carried on, developed and strengthened.