郵送による継続教育プログラムは,医師のパフォーマンスを向上させますか? 抗高血圧治療におけるランダム化試験の結果

C E Evans, R B Haynes, N J Birkett

JAMA

|January 24, 1986

まとめ

高血圧に関するメールによる継続教育は,医師の知識や患者の血圧管理に持続的な影響を示さなかった. これらの医師の教育資料のためのリソースは,非効率的に割り当てられることがあります.

科学分野:

医療教育医療教育について
心血管疾患の管理について
プライマリケア・プラクティス

背景:

医者の継続的な教育のための資料は,頻繁に郵送されます.
これらの郵送教育リソースの有効性は十分に確立されていません.
医者の知識と患者の結果に与える影響を評価することは極めて重要です.

研究の目的:

郵送による継続教育プログラムによる高血圧への長期的な影響を評価する.
プログラムが医師の知識と患者の血圧管理を改善したかどうかを判断するために.
郵送の医師教育の費用対効果を評価する.

主な方法:

主治医を対象にランダム化試験が行われました.
参加者には,高血圧に関する継続的な教育プログラムが郵送されました.
医師の知識はアンケートを通して評価され,患者の血圧の変化はモニタリングされました.

主要な成果:

短期的な知識の獲得は観察されたが,医師の知識に持久的な影響は認められなかった.
研究終了時の医師の知識スコアは,介入グループと対照グループ (50%対52%) の間で類似していました.
試験群と対照群の間では,患者の血圧低下における有意な違いは観察されなかった.

結論:

高血圧に関する郵送継続教育プログラムは,持続的な利益を提供しない可能性があります.
医師向けに郵送された指導教材への投資は効果的ではないかもしれません.
慢性疾患管理のための医師教育戦略を最適化するためにさらなる研究が必要である.

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