E-Posters-10193

10193_Zigman

Pdf Summary

This study aimed to assess the impact of educational interventions on primary care physicians' screening, treatment, and referral practices for urinary incontinence (UI) in women. A lecture series on UI screening, treatments, and referrals was given to internal medicine residents, and a validated UI screen was added to the electronic health record for documenting new female patients' history and physical. A chart review was conducted before and after the intervention. Results showed that in the pre-intervention group, 13% of patients were screened for UI, with 46% of them testing positive. Only 12% of the positive patients were offered treatment, and no specialist referrals were made. In the post-intervention group, 15% of patients were screened for UI, with 35.7% testing positive. Of the positive patients, 40% were offered treatment. However, there was no statistical difference in screening rates, positive screens, or treatments offered between the pre- and post-intervention groups. The study also collected demographic data and found no significant differences in age or ethnic distribution between the pre- and post-intervention groups. However, there was a statistically significant increase in the number of medical comorbidities documented in the post-intervention group. In conclusion, educational interventions and implementing a validated UI screen in the electronic health record did not significantly improve UI screening rates, positive screens, or treatments offered by primary care physicians. Further interventions and research are needed to effectively improve the management of UI in primary care settings.

Keywords

educational interventions

primary care physicians

screening

treatment

referral practices

urinary incontinence

women

validated UI screen

electronic health record

medical comorbidities