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Announcing the outcome of the second round of E-Quality awards 2012/13 

The IPCRG is delighted to announce that it has awarded funding to two further educational pilot projects as part of the E-Quality programme.

The two successful teams are:

o Dr Sonia Maria Martins and colleagues,Sao Bernardo Do Campo, Sao Paolo- Brazil. A Multidisciplinary Educational Programme to Develop Knowledge and Practice for Diagnosis and Treatment of Asthma and COPD: Family Health Strategy. 

This project is now complete. The work was led by Sonia Maria Martins and colleagues in Sao Bernardo do Campo in Brazil where they developed the capacity of primary care teams to support management of respiratory disease using a collaborative educational approach called 'matrix support’. Comprehensive evaluation of the project has demonstrated  improved knowledge and an impact on referrals to secondary care. The full paper can be found here - 

'Implementation of ‘matrix support’ (collaborative care) to reduce asthma and COPD referrals and improve primary care management in Brazil: a pilot observational study
npj Primary Care Respiratory Medicine 26, Article number: 16047 (2016). doi:10.1038/npjpcrm.2016.47
Authors: Sonia Maria Martins, William Salibe-Filho, Luís Paulo Tonioli, Luís Eduardo Pfingesten, Patrícia Dias Braz, Juliet McDonnell, Siân Williams, Débora do Carmo, Jaime Correia de Sousa, Hilary Pinnock & Rafael Stelmach
Asthma and chronic obstructive pulmonary disease (COPD) are leading causes of hospitalisation and death in the city of Sao Bernardo do Campo. The municipality had difficulties in sustaining a pulmonology specialist team. Local policy has strengthened the knowledge of the primary care teams to improve the management of these diseases. Our aim is to pilot the implementation of an educational intervention based on collaborative care focused on reducing respiratory-related referrals. We implemented ‘matrix support’: a Brazilian collaborative educational intervention promoting specialist training and support for primary care physicians in three health territories with the highest number of referrals. Clinicians and nurses from primary care attended an 8-h workshop. The backlog of respiratory referrals was prioritised, where Asthma and COPD represented 70% of referral reasons. Initially, pulmonologists held joint consultations with physicians and nurses; as confidence grew, these were replaced by round-table note-based case discussions. The primary outcome was the number of asthma and COPD referrals. Almost all primary healthcare professionals in the three areas (132 of 157–87%) were trained; 360 patients were discussed, including 220 joint consultations. The number of respiratory referrals dropped from 290 (the year before matrix support) to 134 (the year after) (P<0.05). Referrals for asthma/COPD decreased from 13.4 to 5.4 cases per month (P=0.09) and for other lung diseases from 10.8 to 5.3 cases per month (P<0.05). Knowledge scores showed a significant improvement (P<0.001). Matrix-support collaborative care was well-accepted by primary care professionals associated with improved knowledge and reduced respiratory referrals. The initiative attracted specialists to the region overcoming historical recruitment problems

More information about the project: Multidisciplinary training for asthma and COPD - Sao Paolo,Brazil

o Dr Beraki Ghezai, Dr Svein Hoegh Henrichsen, Dr Anders Ostrem, Lunger i Praksis, Norway and Professor Andemariam Gebremichael, Dean, Orotta School of Medicine, University of Asmara, Eritrea. Training programme to improve diagnosis and management of CRD in Eritrea. 

Improving diagnosis & management of chronic respiratory disease (CRD) - Eritrea

The E-Quality programme seeks to increase educational capability in member and associate member countries: working locally, collaborating globally. We invited bids for a portion of a £15,000 budget; project bids needed to meet our evidence-based criteria and applicants were also asked to present to the IPCRG Education Sub Committee in October 2012. Following this selection process two bids were awarded. We will be working with both teams over the coming year to ensure their success and share learning with IPCRG. 

To download the full literature review prepared for the IPCRG by Juliet McDonnell click here

For more information contact the IPCRG Business Manager:

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