在初级保健中提高电子咨询的适当性,并持续进行肝病教育
Francisco Javier Pérez Hernández1,2, Yanira González Méndez3, Carla Amaral González3
1Family and Community Medicine Unit of La Laguna, Northern Area, Tacoronte, Spain.
同步和异步教育都改善了慢性肝病 (CLD) 管理的电子咨询 (e-consults). 基于反的非同步培训为优化专家推提供了实用,有效的替代方案.
科学领域:
- 肝病学和胃肠道学
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电子咨询 (e-consults) 越来越多地用于治疗慢性肝病 (CLD).
- 由初级保健医生 (PCP) 提交的电子咨询的适当性可能会有所不同,这会影响专业资源的分配.
- 教育干预措施可以优化PCP电子咨询实践.
研究的目的:
- 评估同步与异步教育策略对CLD电子咨询的适当性的短期影响.
- 将面对面/在线持续医学教育与基于电子咨询反的培训的有效性进行比较.
主要方法:
- 一项长达24个月的前性观察队列研究,涉及326名PCP和10名肝病学专家.
- 针对CLD的电子咨询结果在三个8个月的时间段中进行了分析:没有培训,同步教育和异步教育.
- 电子咨询的适当性被分类,并在各组之间进行比较.
主要成果:
- 总共分析了来自205个PCP的663个CLD电子咨询.
- 总体而言,电子咨询的适当性为68%,与基线 (60.1%) 相比,在同步 (75.2%) 和异步 (69.1%) 培训后显著改善.
- 经过培训的PCP提交适当的电子咨询的可能性是两倍 (OR = 2.001).
结论:
- 同步和异步的教育策略都大大提高了CLD电子咨询的适当性,并减少了不必要的转诊.
- 通过电子咨询反进行异步教育是改善PCP实践的实用和有效方法.
- 教育计划对于优化电子咨询利用至关重要,需要进一步研究长期影响.
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