TY - JOUR AU - Casebeer, Linda L AU - Strasser, Sheryl M AU - Spettell, Claire M AU - Wall, Terry C AU - Weissman, Norman AU - Ray, Midge N AU - Allison，Jeroan J PY - 2003 DA - 2003/9/24 TI -设计量身定制的基于Web的教学，以提高执业医生的预防实践JO - J医学互联网Res SP - e20 VL - 5 IS - 3kw -互联网KW -万维网KW -在线KW -继续医学教育KW -继续卫生保健教育KW -教育理论KW -认知理论KW -网站设计KW -衣原体筛查AB -背景:万维网导致了医疗信息的快速增长和持续的医学教育产品。方便访问和随时可用是万维网的优点。现有的医师教育网站的设计和开发往往没有系统地应用证据和认知教育理论;几乎没有进行过严格的评估，以确定哪些设计因素在促进医生参与网络教育可能导致的医生绩效和患者健康结果的改善方面最有效。理论和基于证据的Web设计原则包括:需求评估、多模式策略、交互性、临床案例、定制、可信的基于证据的内容、审计和反馈，以及患者教育材料。易用性和支持最低通用技术标准的设计也很重要。目的:利用这些原则，设计和开发一个网站，包括提高初级保健医生衣原体筛查率的多模式策略。方法:我们使用办公室实践数据进行需求评估，并作为审计/反馈工具。 In the intervention introduced in 4 phases over 11 months, we provided a series of interactive, tailored, case vignettes with feedback on peer answers. We included a quality-improvement toolbox including clinical practice guidelines and printable patient education materials. Results: In the formative evaluation of the first 2 chlamydia modules, data regarding the recruitment, enrollment, participation, and reminders have been examined. Preliminary evaluation data from a randomized, controlled trial has tested the effectiveness of this intervention in improving chlamydia screening rates with a significant increase in intervention physicians' chlamydia knowledge, attitude, and skills compared to those of a control group. Conclusions: The application of theory in the development and evaluation of a Web-based continuing medical education intervention offers valuable insight into World Wide Web technology's influence on physician performance and the quality of medical care. SN - 1438-8871 UR - //www.mybigtv.com/2003/3/e20/ UR - https://doi.org/10.2196/jmir.5.3.e20 UR - http://www.ncbi.nlm.nih.gov/pubmed/14517111 DO - 10.2196/jmir.5.3.e20 ID - info:doi/10.2196/jmir.5.3.e20 ER -