Pazirandeh M
Department of Medicine, Case Western Reserve University School of Medicine, 36100 Euclid Avenue, Willoughby, OH 44094, USA.
J Contin Educ Health Prof. 2000 Summer;20(3):176-80. doi: 10.1002/chp.1340200307.
Is multi-interventional continuing medical education (CME) effective in changing one or more health care outcomes?
In a noncontrolled study (noncontrolled because of lack of adequate funding and support) of 328 volunteer recruits, a health status questionnaire including measuring serum cholesterol was obtained. After having identified deficiencies in the health status indicators, CME interventions, including didactic lectures to physicians and allied health professionals, announcements of data in physician lounges and departmental meetings, letters to physicians, and patient education, were introduced. Approximately 6 months after the first survey, a second survey was carried out and was compared with the initial data.
Of 1,001 volunteers who were initially surveyed, only 328 returned for follow-up. Among seven relevant variables, the only change was an increase in dietary instruction by physicians and a reduction in serum cholesterol.
In this noncontrolled multi-interventional CME study on the treatment of hyperlipidemia, there were indications of improvement in physician instructions on diet and a reduction in serum cholesterol.
多介入式继续医学教育（CME）在改变一个或多个医疗保健结果方面是否有效？
在一项针对328名志愿者新兵的非对照研究（因缺乏足够资金和支持而未设对照）中，获取了一份包括测量血清胆固醇的健康状况问卷。在确定健康状况指标存在缺陷后，引入了CME干预措施，包括对医生和相关卫生专业人员进行的教学讲座、在医生休息室和部门会议上公布数据、给医生写信以及患者教育。在首次调查大约6个月后，进行了第二次调查，并与初始数据进行了比较。
在最初接受调查的1001名志愿者中，只有328人返回接受随访。在七个相关变量中，唯一的变化是医生提供的饮食指导有所增加，血清胆固醇有所降低。
在这项关于高脂血症治疗的非对照多介入式CME研究中，有迹象表明医生在饮食指导方面有所改善，血清胆固醇有所降低。
