%0期刊文章%@ 1438- 8871% I JMIR出版物%V 21卡塔尔世界杯8强波胆分析% N 3% P e12998% T医生的离线计算机辅助数字教育:数字健康教育合作组织的系统评价A Wahabi,Hayfaa Abdelmageed %A Esmaeil,Samia Ahmed %A Bahkali,Khawater Hassan %A Titi,Maher Abdelraheim %A Amer,Yasser Sami %A Fayed,Amel Ahmed %A Jamal,Amr %A Zakaria,Nasriah %A Siddiqui,Amna Rehana %A Semwal,Monika %A Car,Lorainne Tudor %A Posadzki,Paul %A Car,Josip %+循证医疗保健和知识翻译研究主席，研究主任，沙特国王大学，7373 Al Fawaz Streeat, Al Wadi区，利雅得，13313-4171，沙特阿拉伯，966 0553294955,umlena@yahoo.com %K系统综述%K医学教育，数字教育%D 2019 %7 01.03.2019 %9综述%J J医学互联网Res %G英文%X背景:医学领域创新与向医生传播此类信息之间的差距不断扩大，可能会影响护理质量。线下基于计算机的数字教育(OCDE)可能是克服医生所面临的地理、财务和时间障碍的潜在解决方案。目的:本系统综述的目的是评估与面对面学习、无干预或其他类型的数字学习相比，OCDE在提高医生知识、认知技能和患者相关结果方面的有效性。次要目标是评估OCDE的成本效益(CE)和任何不良影响。方法:检索1990年至2017年8月的主要文献数据库，识别相关文章，并遵循Cochrane方法进行系统综述。结果:本综述共纳入27项随机对照试验(RCT)、1项聚类随机对照试验(cRCT)和1项准RCT。除cRCT外，参与者总数为1690人，其中包括24个实践。由于参与者、干预措施和结果的异质性，荟萃分析不可行，结果以叙述性总结的形式呈现。 Compared with face-to-face learning, the effect of OCDE on knowledge gain is uncertain (ratio of the means [RM] range 0.95-1.17; 8 studies, 495 participants; very low grade of evidence). From the same comparison, the effect of OCDE on cognitive skill gain is uncertain (RM range 0.1-0.9; 8 studies, 375 participants; very low grade of evidence). OCDE may have little or no effect on patients’ outcome compared with face-to-face education (2 studies, 62 participants; low grade of evidence). Compared with no intervention, OCDE may improve knowledge gain (RM range 1.36-0.98; 4 studies, 401 participants; low grade of evidence). From the same comparison, the effect of OCDE on cognitive skill gain is uncertain (RM range 1.1-1.15; 4 trials, 495 participants; very low grade of evidence). One cRCT, involving 24 practices, investigated patients’ outcome in this comparison and showed no difference between the 2 groups with low-grade evidence. Compared with text-based learning, the effect of OCDE on cognitive skills gain is uncertain (RM range 0.91-1.46; 3 trials with 4 interventions; 68 participants; very low-grade evidence). No study in this comparison investigated knowledge gain or patients’ outcomes. One study assessed the CE and showed that OCDE was cost-effective when compared with face-to-face learning if the cost is less than or equal to Can $200. No trial evaluated the adverse effect of OCDE. Conclusions: The effect of OCDE compared with other methods of education on medical doctors’ knowledge and cognitive skill gain is uncertain. OCDE may improve doctors’ knowledge compared with no intervention but its effect on doctors’ cognitive skills is uncertain. OCDE may have little or no effect in improving patients’ outcome. %M 30821689 %R 10.2196/12998 %U //www.mybigtv.com/2019/3/e12998/ %U https://doi.org/10.2196/12998 %U http://www.ncbi.nlm.nih.gov/pubmed/30821689