Teaching Unit for Family and Community Primary Care Health District Málaga/Guadalhorce, Andalusian Health Service, Málaga, Spain; Biomedical Research Institute of Málaga -IBIMA-, University of Malaga, Spain; Health Services and Chronic Conditions Research Network (REDISSEC), Health Institute Carlos III, Madrid, Spain.
Health Services and Chronic Conditions Research Network (REDISSEC), Health Institute Carlos III, Madrid, Spain; EpiChron Research Group, Aragon Health Sciences Institute (IACS), IIS Aragón, Miguel Servet University Hospital, Zaragoza, Spain.
Mech Ageing Dev. 2020 Dec;192:111354. doi: 10.1016/j.mad.2020.111354. Epub 2020 Sep 15.
Multimorbidity (MM) is a widespread problem and it poses unsolved issues like the healthcare professionals' training. A training curriculum has been proposed, but it has not been sufficiently explored in a clinical context. The eMULTIPAP course is part of the MULTIPAP complex intervention, applied through a pragmatic controlled, cluster randomized clinical trial to general practitioners (GP) and his/her patients with MM with 12 months follow-up. The eMULTIPAP course is based on problem-based learning, constructivism and Ariadne principles. It has been assessed according to the Kirkpatrick model and has shown knowledge improvement and high applicability of learning with more motivation to consider MM in the clinical practice. It has also improved the Medication Appropriateness Index at 6-months and at 12- months. We conclude that the eMULTIPAP course generates significant changes in GP's learning, enhancing clinical practice in multimorbidity scenarios.
多发病（MM）是一个普遍存在的问题，它提出了一些未解决的问题，如医疗保健专业人员的培训。已经提出了一个培训课程，但在临床环境中尚未得到充分探索。eMULTIPAP 课程是 MULTIPAP 综合干预的一部分，通过实用的对照、群组随机临床试验应用于全科医生（GP）及其患有 MM 的患者，随访 12 个月。eMULTIPAP 课程基于基于问题的学习、建构主义和阿里阿德涅原则。它已经根据柯克帕特里克模型进行了评估，并且已经显示出了知识的提高和学习的高适用性，并且更有动力在临床实践中考虑 MM。它还改善了 6 个月和 12 个月时的药物适宜性指数。我们得出结论，eMULTIPAP 课程在 GP 的学习中产生了显著的变化，增强了多发病情况下的临床实践。
