TY - JOUR AU - Schopf, Thomas AU - flytkjj ø r, Vibeke PY - 2012 DA - 2012/12/05 TI -基于移动和电子邮件支持的互动式网络教育对特应性皮炎患者治疗和转诊模式的影响:随机对照试验JO - J Med Internet Res SP - e171 VL - 14 IS - 6 KW -特应性皮炎KW - Internet KW -继续教育AB -背景:在继续医学教育中考察了各种教育策略的效果。网络学习已经成为普通课堂教学的替代选择。目的:探讨通过电子邮件或手机短信进行个人指导的交互式网络课程是否可以改善全科医生在特应性皮炎管理中的执业行为。方法:来自挪威各地的全科医生都有资格参加这项随机对照教育试验。在6个月的时间里，干预组的医生有机会参加一个关于特应性皮炎管理的网络课程。这与皮肤科医生通过手机通过电子邮件或多媒体信息服务(MMS)提供的指导相结合。在对照组中，没有任何教育或指导。主要结局指标为特应性皮炎患者局部类固醇治疗的持续时间(主要结局)、治疗方式的数量和转诊患者的数量。结果:共入组医生46名，干预组24名，对照组22名。 They reported a total of 190 patient treatments. There were no statistically significant differences in the duration of topical steroid treatment or number of treatment modalities between the groups. The lack of effect on the primary outcome may be due to attrition as 54% (13/24) of the participants did not complete the course. 42% (10/24) of physicians sent at least one educational request via email or MMS. While 11% (8/73) of treatment reports in the intervention group were referred to a health care specialist (eg, dermatologist or pediatrician), 30% (21/71) of treatment reports in the control group did so. This difference in the number of referrals was significant (P = .03). Conclusions: A Web-based educational intervention aimed at general practitioners combined with personal support can reduce the number of atopic dermatitis patient referrals to specialists. SN - 1438-8871 UR - //www.mybigtv.com/2012/6/e171/ UR - https://doi.org/10.2196/jmir.2359 UR - http://www.ncbi.nlm.nih.gov/pubmed/23249479 DO - 10.2196/jmir.2359 ID - info:doi/10.2196/jmir.2359 ER -