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首页> 外文期刊>BMC Medical Education >Knowledge of physicians regarding the management of Type two Diabetes in a primary care setting: the impact of online continuous medical education
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Knowledge of physicians regarding the management of Type two Diabetes in a primary care setting: the impact of online continuous medical education

机译：关于初级保健环境中两种糖尿病患者管理的医生：在线连续医学教育的影响

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BACKGROUND:To explore the impact of an online continuing medical education (CME) program on physicians' knowledge about the management of type two diabetes.METHODS:An online CME program was designed and uploaded in the CME platform, Department of Education, Ministry of health, Iran. A 28-item questionnaire was used for the assessment. In the beginning, a case scenario was introduced. Then, participants were asked to follow and answer to a pretest assessment. Details of the educational content were provided afterward. Finally, the participants took part in the same post-test exam 4 weeks later. The Wilcoxon matched-pairs signed-ranks test was used to compare the measurements. In addition, the Mann-Whitney test was applied to compare knowledge indices between the general practitioners (GPs) and internists.RESULTS:Five hundred twenty-six primary care physicians participated in this study. There was a significant positive effect regarding diagnosis confirmation (10.3% difference, P?=?0.0001). Moreover, a smaller effect was observed in relation to the importance of glycosylated hemoglobin (HbA1c) at diagnosis (5.2% difference, P?=?0.0006). The effect was positive in relation to the self-reported HbA1c testing frequency: more than 90% of the participants answered correctly in the post-test exam (7.6% difference, P?=?0.0001). Considering improved knowledge in the treatment of diabetes, there was a very significant difference in response to questions targeting advice on a healthy diet, and physical activity; 27.7% (P?=?0.000), and 18.7% (P?=?0.000), respectively. In addition, the program had a positive impact on various aspects of treatment with oral glucose-lowering drugs (OGLDs). Moreover, the intervention difference was 25, and 34.4% for the questions targeting the appropriate type of insulin, and insulin initiation regimen after OGLD failure. Subgroup analyses revealed that the intervention increased the rate of correct responses among the GPs in various domains of knowledge in diagnosis and treatment. The initial differences between the GPs and internists no longer remained significant after the intervention.CONCLUSION:Knowledge of Iranian primary health care professionals in diabetes management has significant shortcomings. This is concerning because they are at the front line of patient care. We demonstrate the effectiveness of online CME on improving GPs knowledge in the management of type 2 diabetes.
机译：背景：探讨在线持续的医学教育（CME）计划对2型糖尿病型管理知识的影响。方法：在卫生部的CME平台设计和上传了在线CME计划，伊朗。一个28件商品问卷用于评估。一开始，介绍了案例方案。然后，要求参与者遵循并回答预测评估。之后提供了教育内容的详细信息。最后，参与者在4周后参加了相同的测试后考试。 Wilcoxon匹配对签名排名测试用于比较测量。此外，曼诺 - 惠特尼试验用于比较一般从业者（GPS）和内部人之间的知识指数。结果：五百二十六个初级保健医生参加了这项研究。对诊断确认有显着的积极效果（10.3％差异，p？= 0.0001）。此外，有关糖基化血红蛋白（HBA1C）在诊断时的重要性（5.2％差异，p≤0.0006），观察到较小的效果。该效果与自我报告的HBA1C测试频率有关：超过90％的参与者在测试后检查中正确回答（7.6％差异，p？= 0.0001）。考虑到在治疗糖尿病治疗方面提高了知识，响应有针对健康饮食的建议和身体活动的问题，存在非常显着的差异;分别为27.7％（p？= 0.000），分别为18.7％（p？= 0.000）。此外，该计划对用口腔葡萄糖降低药物（OGLD）的治疗各方面产生了积极影响。此外，介入差异为25次，靶向适当类型的胰岛素和OGLD失败后的胰岛素启动方案的问题为34.4％。亚组分析显示，干预措施增加了在诊断和治疗的各个域中的GPS中的正确响应率。干预后GPS和内部家之间的初始差异不再留下重大意义。结论：糖尿病管理中的伊朗初级医疗专业人士的知识具有重要缺点。这是关于他们在患者护理的前线。我们展示了在线CME对改善2型糖尿病患者的GPS知识的有效性。

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