Dr. D'Aloja: Senior Researcher,National Centre for Diseases Prevention and Health Promotion, Italian National Health Institute, Rome, Italy; Dr. Maraschini: Senior Researcher, National Centre for Diseases Prevention and Health Promotion, Italian National Health Institute, Rome, Italy; Dr. Lega: Senior Researcher, National Centre for Diseases Prevention and Health Promotion, Italian National Health Institute, Rome, Italy; Ms. Andreozzi: Grafic Designer, National Centre for Diseases Prevention and Health Promotion, Italian National Health Institute, Rome, Italy; Ms. Sampaolo: Information Specialist, National Centre for Diseases Prevention and Health Promotion, Italian National Health Institute, Rome, Italy; Dr. Valetto: Science Journalist, Zadig, Scientific Publisher, Milan, Italy;Dr. Dri: Chief Director, Zadig, Scientific Publisher, Milan, Italy: Dr. Donati: Head of Department, National Centre for Diseases Prevention and Health Promotion, Italian National Health Institute, Rome, Italy.
J Contin Educ Health Prof. 2020 Fall;40(4):289-292. doi: 10.1097/CEH.0000000000000304.
Distance learning efficacy on physician performances and patient health outcomes has been demonstrated. This study explored the participation and evaluation of CME e-learning courses for Italian health care professionals addressing leading causes of maternal mortality identified by the Italian Obstetric Surveillance System (ItOSS) at the Italian National Health Institute, namely postpartum hemorrhage and pregnancy hypertensive disorders.
A model for two online free 12-hour case-based training courses was used. Data on participants were collected, anonymized, and transferred to the Italian National Health Institute for later analysis. Participants were requested to sign an online informed consent form.
Twenty-one thousand five hundred thirty-two health care professionals enrolled to the courses from 2014 to 2017 as follows: midwives (14,187, 65.9%); obstetricians (3,716, 17.2%); anesthesiologists (1,896, 8.8%); and other medical specialists (1,733, 8.0%). Overall, 85% of participants acquired CME credits. Participants' satisfaction on quality, efficacy, and relevance was very high.
ItOSS courses were able to reach a substantial number of different professional profiles involved in perinatal care all over the country; ItOSS courses can be considered an effective way to spread evidence-based good clinical practices. Nevertheless, further studies are needed to verify the improvement in professional health care skills and patient outcomes.
远程学习在提高医生绩效和改善患者健康结果方面已得到证实。本研究探讨了意大利国家卫生研究所（Istituto Superiore di Sanità，ISS）为意大利医疗保健专业人员举办的以意大利产科监测系统（Obstetric Surveillance System，ItOSS）确定的孕产妇死亡主要原因（即产后出血和妊娠高血压疾病）为主题的继续医学教育（Continuing Medical Education，CME）电子学习课程的参与情况和评价。
采用了一种针对两个在线免费 12 小时案例培训课程的模型。收集了参与者的数据，进行了匿名处理，并传输到意大利国家卫生研究所，以便进行进一步分析。参与者被要求在线签署知情同意书。
2014 年至 2017 年，共有 21532 名医疗保健专业人员注册了这些课程，包括：助产士（14187 名，占 65.9%）、妇产科医生（3716 名，占 17.2%）、麻醉师（1896 名，占 8.8%）和其他医学专家（1733 名，占 8.0%）。总体而言，85%的参与者获得了继续医学教育学分。参与者对课程质量、效果和相关性的满意度非常高。
ItOSS 课程能够覆盖全国范围内参与围产期保健的不同专业人员；ItOSS 课程可以被视为传播基于证据的良好临床实践的有效方式。然而，还需要进一步的研究来验证专业医疗保健技能和患者结果的改善。
