2026-04-29T04:10:02Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/197162024-09-27T17:12:21Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Maeso Martínez, Sergio author Montesinos, M author Arana, B author Expósito, E author Rotinen, J author Cirera, Lluís author 2023 Background/Objectives: Ensuring high-quality Cause of Death (CoD) statistics is fundamental to public health. Some educational initiatives have been implemented but limited research is available on the efficacy evaluation of medical courses for improving CoD certification. We aimed to assess the efficacy of a training program for physicians to improve the quality of causes of death certification in Spain. Methods: The workshop was addressed to in-training physicians (MIR Specialist training program) during 2012 and 2013 in the Spanish region of Murcia. This descriptive observational epidemiological study assessed the efficacy of medical certification of 18 face-to-face workshops by a pre/post-test, before and after the course, of three exercises of real CoD certificates given to 289 MIR during that period. We evaluated and scored (well/bad, adding up 1 point for each well done): writing, acronyms, and sequence as form indicators; placement of immediate, intermediate, and initial CoD, affixes, and omissions as concept indicators; and correct Basic Cause of Death (CABAS) as result indicators. We performed McNemar tests for all indicators (form, concept, and result). Results: We included 1,604 exercises with 17,637 items. All the items evaluated showed improvement after completing the course. Four indicators and three groups were incorrect (< 50%) at initial exercises, all being correct (> 50%) at final exercises. After the course, the most notable improvements, greater than 35%, were immediate, intermediate and initial cause, causal sequence and described causes; and groups: causes, concept and causes with CABAS. In the initial test, 54% individual indicators were correct, while in the final examination, 81% were correct, with an improvement of 27% (p-value < 0.05). In 27 of the 30 comparisons (11 items for 3 exercises) there was a marked improvement after the course (p-values < 0.001). In the third exercise, immediate cause, acronyms and casual sequence, improvements were less emphatic or non-significant (p-value 0.001, 0.002, 0.278). Legible writing obtained less clear or non-significant improvements in all exercises (p-value 0.096, 0.027, 0.210). In the initial test, CABAS was correct in 67% of exercises, while in the final test was correct in 94% of exercises, with a 27% improvement (p < 0.05). Conclusions/Recommendations: The effectiveness of the training program for physicians on death certification was remarkable. Observed performance markedly improve after the educational intervention. Institutions involved should consider implementing training on death certification and should evaluate the positive impact on mortality quality statistics. Gac Sanit. 2023;37(S1):205-205. http://hdl.handle.net/20.500.12105/19716 Gac Sanit. Cause of Death (CoD) Public health Death certification Spain MIR Specialist training program Efficacy assessment of a training programme for physicians on death certification