在肯尼亚评估一项混合学习计划
Larissa Klootwijk1,2, Lilian Apadet Osamong3, Ibrahim El Salih1,2
1Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
JCO global oncology
|September 3, 2025
概括
一个混合学习计划改善了医疗保健提供者的儿童癌症知识, 尽管病例怀疑增加,但转诊率没有改善,这表明存在持续的障碍.
科学领域:
- 儿童瘤学
- 全球健康
- 医疗专业教育
背景情况:
- 早期发现儿童癌症对于改善低收入和中等收入国家的结果至关重要.
- 由于时间和资源的限制,在资源有限的环境中培训初级卫生保健提供者 (HCP) 面临重大挑战.
研究的目的:
- 通过混合学习计划评估初级卫生保健工作者的儿童癌症知识.
- 评估这次培训对疑似儿童癌症病例的转诊的影响.
主要方法:
- 肯尼亚邦戈马的一项前性研究评估了一项混合儿科瘤学培训计划.
- 在基线,培训后立即和六个月后使用半结构化问卷评估知识.
- 在培训干预之前和之后分析了该地区的转诊数据.
主要成果:
- 在3040名参与者中,共有496名 (16%) 完成了该计划. 经过培训后,中位数的知识分数显著增加,但在六个月后显著下降.
- 在所有评估点上,社区卫生志愿者得分始终低于其他卫生专家.
- 尽管36%的参与者报告怀疑患有儿童癌症的病例,但平均每年转诊人数保持不变 (14例).
结论:
- 混合学习计划最初提高了知识,但在六个月后显著下降.
- 虽然数字学习组件显示出潜力,但转诊率低表明需要解决有效转诊患者的系统性障碍.
- 需要进一步的策略来维持知识并改善儿童癌症的转诊途径.
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