Abdolrasulnia Maziar, Collins Blanche C, Casebeer Linda, Wall Terry, Spettell Claire, Ray Midge N, Weissman Norman W, Allison Jeroan J
Division of Continuing Medical Education, University of Alabama at Birmingham, JNWB 406, 1530 3rd Avenue South, Birmingham, AL 35294-0500, USA.
BMC Med Educ. 2004 Sep 29;4:17. doi: 10.1186/1472-6920-4-17.
BACKGROUND: Engaging practicing physicians in educational strategies that reinforce guideline adoption and improve the quality of healthcare may be difficult. Push technologies such as email offer new opportunities to engage physicians in online educational reinforcing strategies. The objectives are to investigate 1) the effectiveness of email announcements in engaging recruited community-based primary care physicians in an online guideline reinforcement strategy designed to promote Chlamydia screening, 2) the characteristics of physicians who respond to email announcements, as well as 3) how quickly and when they respond to email announcements. METHODS: Over a 45-week period, 445 recruited physicians received up to 33 email contacts announcing and reminding them of an online women's health guideline reinforcing CME activity. Participation was defined as physician log-on at least once to the website. Data were analyzed to determine participation, to compare characteristics of participants with recruited physicians who did not participate, and to determine at what point and when participants logged on. RESULTS: Of 445 recruited physicians with accurate email addresses, 47.2% logged on and completed at least one module. There were no significant differences by age, race, or specialty between participants and non-participants. Female physicians, US medical graduates and MDs had higher participation rates than male physicians, international medical graduates and DOs. Physicians with higher baseline screening rates were significantly more likely to log on to the course. The first 10 emails were the most effective in engaging community-based physicians to complete the intervention. Physicians were more likely to log on in the afternoon and evening and on Monday or Thursday. CONCLUSIONS: Email course reminders may enhance recruitment of physicians to interventions designed to reinforce guideline adoption; physicians' response to email reminders may vary by gender, degree, and country of medical training. Repetition of email communications contributes to physician online participation.
背景：让执业医师参与到强化指南采用并改善医疗质量的教育策略中可能具有挑战性。诸如电子邮件等推送技术为让医师参与在线教育强化策略提供了新机会。目标是调查：1）电子邮件通知在促使招募的社区基层医疗医师参与旨在促进衣原体筛查的在线指南强化策略方面的有效性；2）回复电子邮件通知的医师的特征；以及3）他们回复电子邮件通知的速度和时间。 方法：在45周的时间里，445名招募的医师收到了多达33封电子邮件，通知并提醒他们参加一项强化继续医学教育活动的在线女性健康指南。参与定义为医师至少登录一次该网站。对数据进行分析，以确定参与情况，比较参与者与未参与的招募医师的特征，并确定参与者登录的时间点和时间。 结果：在445名拥有准确电子邮件地址的招募医师中，47.2%登录并完成了至少一个模块。参与者和非参与者在年龄、种族或专业方面没有显著差异。女医师、美国医学毕业生和医学博士的参与率高于男医师、国际医学毕业生和 osteopathic 医师。基线筛查率较高的医师登录该课程的可能性显著更高。前10封电子邮件在促使社区医师完成干预方面最有效。医师更有可能在下午和晚上以及周一或周四登录。 结论：电子邮件课程提醒可能会提高医师参与旨在强化指南采用的干预措施的招募率；医师对电子邮件提醒的反应可能因性别、学位和医学培训国家而异。电子邮件通信的重复有助于医师在线参与。
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