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高度互动的多轮项目对高血压管理中的医生行为产生影响:新的继续医学教育模式的结果。

Highly interactive multi-session programs impact physician behavior on hypertension management: outcomes of a new CME model.

机构信息

Potomac Center for Medical Education, Columbia, MD 21046, USA.

出版信息

J Clin Hypertens (Greenwich). 2011 Feb;13(2):97-105. doi: 10.1111/j.1751-7176.2010.00399.x. Epub 2010 Dec 10.

Abstract

There has been much discussion and study about the role of continuing medical education (CME) in improving patient care. The authors describe the processes used to develop and implement a series of live, half-day, highly interactive CME events that addressed knowledge, competency, and performance gaps in hypertension diagnosis and management in the primary care community and successfully changed physician behavior toward improved patient outcomes. Participation in an intensive, highly interactive, case-based didactic program was significantly associated with an increase in clinician knowledge and competency in diagnosing and managing patients with hypertension. Participation was also associated with a high likelihood for practice change and making guideline-driven and evidence-based decisions to positively impact patient care. A greater portion of participants were able to identify the appropriate blood pressure goal and select the most appropriate pharmacotherapy regimen for specific patients. Quality of education index indicated that participants were 52% more likely to practice guideline-driven and evidence-based medicine than those who did not participate in the CME activity.

摘要

关于继续医学教育(CME)在改善患者护理方面的作用,已经进行了大量的讨论和研究。作者描述了用于开发和实施一系列现场、半天、高度互动的 CME 活动的过程,这些活动解决了初级保健社区中高血压诊断和管理方面的知识、能力和绩效差距,并成功改变了医生的行为,以改善患者的治疗效果。参与强化、高度互动、基于案例的教学计划与临床医生在诊断和管理高血压患者方面的知识和能力的提高显著相关。参与也与实践改变的可能性以及做出以指南为导向和基于证据的决策以积极影响患者护理高度相关。更多的参与者能够为特定患者确定适当的血压目标,并选择最合适的药物治疗方案。教育质量指数表明,与未参加 CME 活动的人相比,参与者更有可能进行以指南为导向和基于证据的医学实践,其可能性高出 52%。

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