TY - JOUR AU - Wall, Terry C AU - Mian, M Anwarul Huq AU - Ray, Midge N AU - Casebeer, Linda AU - Collins, Blanche C AU - Kiefe, Catarina I AU - Weissman, Norman AU - Allison, Jeroan J PY - 2005 DA - 2005/9/2 TI -通过互联网干预提高医生绩效:谁将参与?基于互联网的继续医学教育背景:基于互联网的继续医学教育的可用性正在迅速增加,但对这些干预措施的医生招聘情况知之甚少。目的:本研究的目的是检查医生参与旨在增加衣原体病风险年轻女性筛查的互联网干预的预测因素。方法:入选资格基于行政索赔数据,合格的医生通过传真和/或快递收到招募信。招募的办公室至少有一名医生通过提供电子邮件地址同意参与研究。从一个办公室招聘一名医生后,该办公室的密集招聘就停止了。电子邮件提醒个别医生登录互联网网站参与。结果:在符合条件的诊所中,招募325家(33.2%),其中207名医生(52.8%)参与。招募的办公室比非招募的办公室有更多的符合条件的患者(每个办公室的平均符合条件的患者数量:44.1 vs 33.6;P < .001),更多的合格医生(每个办公室的平均合格医生人数:6.2 vs 4.1; P < .001), and fewer doctors of osteopathy (mean percent of eligible physicians per office who were doctors of osteopathy: 20.5% vs 26.4%; P = .02). Multivariable analysis revealed that the odds of recruiting at least one physician from an office were greater if the office had more eligible patients and more eligible physicians. More participating versus nonparticipating physicians were female (mean percent of female recruited physicians: 39.1% vs 27.0%; P = .01); fewer participating physicians were doctors of osteopathy (mean percent of recruited physicians who were doctors of osteopathy: 15.5% vs 23.9%; P = .04) or international medical graduates (mean percent of recruited physicians who were international graduates: 12.3% vs 23.8%; P = .003). Multivariable analysis revealed that the odds of a physician participating were greater if the physician was older than 55 years (OR = 2.31; 95% CI = 1.09–4.93) and was from an office with a higher Chlamydia screening rate in the upper tertile (OR = 2.26; 95% CI = 1.23–4.16). Conclusions: Physician participation in an Internet continuing medical education intervention varied significantly by physician and office characteristics. SN - 1438-8871 UR - //www.mybigtv.com/2005/4/e48/ UR - https://doi.org/10.2196/jmir.7.4.e48 UR - http://www.ncbi.nlm.nih.gov/pubmed/16236700 DO - 10.2196/jmir.7.4.e48 ID - info:doi/10.2196/jmir.7.4.e48 ER -
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