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一般医生在线教育的随机试验,用于处方和测试订单

Andrew Bonney¹, Conrad Kobel², Judy Mullan³

¹Graduate School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia abonney@uow.edu.au.

BMJ open quality

|October 19, 2023

概括

澳大利亚全科医生 (GPs) 的在线教育显示了降低病理学测试成本的潜力. 虽然整体上并不显著,但完成的病理学教育导致成本降低,这表明了改善医疗保健的可扩展干预.

科学领域:

医疗保健服务研究医疗服务研究
医学教育医学教育
卫生经济学卫生经济学

背景情况:

可能不合适的药物处方和低价值的诊断测试增加了医疗保健成本,并危及了患者的安全.
全国共享电子健康记录旨在改善澳大利亚的医疗保健服务.

研究的目的:

为澳大利亚的全科医生 (GPs) 评估一个可扩展的在线质量改善干预.
干预措施集成在线教育共享电子健康记录和合理的处方,病理学和成像订单.

主要方法:

一个平行三臂随机试验,涉及处方,病理学和成像教育.
106名澳大利亚全科医生被随机选择;结果在六个月的干预前后评估.
主要结果:每100次咨询的费用包括药物,病理学和放射学测试.

主要成果:

在治疗意图分析中,跨部门的成本变化没有显著差异.
每项协议分析显示,病理学教育部门的病理学成本在统计学上显著降低 (比处方部门低187美元).
观察到的吸收率和完成率很低,部分原因是COVID-19大流行.

结论:

在线教育有望降低低价值的病理学测试订购成本,特别是在完成干预的参与者中.
提高干预完成率和纳入实时反可以提高有效性.
在线格式允许可扩展的实施,可能为改善医疗保健提供成本效益的好处.

关键词:

继续教育,持续的专业发展.一般的做法一般的做法.改善医疗保健质量改善医疗保健质量主要的护理是初级保健.

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