E-Learning在撒哈拉以南非洲和低资源环境中的医学教育:卡塔尔世界杯8强波胆分析观点%A Barteit,Sandra %A Jahn,Albrecht %A Banda,Sekelani S %A Bärnighausen,Till %A Bowa,Annel %A Chileshe,Geoffrey %A Guzek,Dorota %A Jorge,Margarida Mendes %A Lüders,Sigrid %A Malunga,Gregory %A Neuhann,Florian %+海德堡全球卫生研究所，Im Neuenheimer Feld 130.3，德国海德堡69120,49 06221 ext 5634030，barteit@uni-heidelberg.de %K医疗电子学习%K技术增强学习%K混合学习%K卫生工作者%K卫生系统加强%K全民健康覆盖%K医学教育%K发展中国家%K撒哈拉以南非洲%K资源贫乏国家%D 2019 %7 09.01.2019 %9观点%J J医学互联网Res %G英语%X e学习被认为是医学教育的一股革命力量，特别是对于那些仍然严重缺乏卫生保健工作者的资源匮乏国家。然而，尽管在撒哈拉以南非洲和其他低收入和中等收入国家开展了20多年的电子学习努力和干预措施，医学教育的电子学习并未获得势头，继续未能实现预期的革命。许多电子学习干预措施一直是死胡同试点，没有扩大规模，而是在试点阶段后终止。这通常是没有采用全系统方法的结果，从而导致培训范围不足、技术维护和用户支助不足、无法达到的高期望和不切实际的财务规划。因此，大量的电子学习评估未能提供科学可靠的证据，证明电子学习对资源匮乏国家医学教育的有效性。相反，技术的发展似乎已经压倒了医学教育，而不是彻底改变了医学教育。如何在资源匮乏的国家推动电子学习进入更高的速度的问题依然存在。 Provision of e-learning as a technology is insufficient. E-learning needs to be vigorously and sustainably integrated into the local educational setting and aligned with national strategies and other national endeavors and interventions. Adhering to a standardized framework for the implementation and evaluation of e-learning endeavors is key, especially to bridge the gap in robust evidence that should also guide e-learning implementations. The primary objective of e-learning for medical education is to strengthen the health system in order to serve the population’s health care needs and expectations. Currently, medical e-learning does not measure up to its potential or do justice to medical students in low-resource countries. Technology may help unfold the potential of e-learning, but an all-encompassing change is needed. This can only be achieved through a joint effort that follows a systematic and standardized framework, especially for implementation and evaluation. %M 30626565 %R 10.2196/12449 %U //www.mybigtv.com/2019/1/e12449/ %U https://doi.org/10.2196/12449 %U http://www.ncbi.nlm.nih.gov/pubmed/30626565