皋兰县村医基于手机短信的继续医学教育调查

A Survey on the Continuing Medical Education Based on Short Message Service for Village Doctors in Gaolan County

目的调查甘肃省皋兰县村卫生室医务人员对基于手机短信的继续医学教育的效果,探索利用手机短信在农村地区医务人员中传播医学知识的模式。方法在皋兰县卫生局举办的培训班上向75名前期接收过手机短信的村医发放现场调查问卷。结果共收回有效问卷75份。统计分析结果显示:56%的村医收到了绝大部分短信,其中98%的村医能够及时阅读所收短信,81%的村医保存了大部分发送的短信,98%的村医能不定期翻阅保存的短信,25%的村医向其他人转发了收到的短信,93%的村医认为短信对他们有不同程度的帮助,96%的村医表示愿意继续接收短信,51%的村医认为短信内容最大的不足是相关性差,70%最想获得有关临床诊治的短信内容;当前情况下,村医认为了解最新医学知识最方便的方式主要为参加上级组织的学习、培训班(39%)和阅读手机短信或短信网络版、纸版的内容(37%)。结论村医愿意接收手机短信发送的最佳临床证据,但目前短信的接收率及使用率均有待提高,完善的短信发送系统以及相关性高的短信内容,是提高接收率及使用率的重要保证。

Objective To investigate the feedback of continuing medical education（CME） based on short message service（SMS） for village doctors in Gaolan County of Gansu Province,and to explore how to improve the efficiency of CME based on SMS.Methods A total of 75 village doctors were investigated with a questionnaire when attending the training program conducted by the Health Bureau of Gaolan County.Results A total of 75 valid questionnaires were collected back.The statistical analyses showed that 56% of the doctors received the majority of the messages sent to them,of whom,98% could read the messages promptly,81% saved the majority of the messages they received,98% could read the saved massages occasionally,25% transmitted messages to others,93% thought that the messages might be helpful in varying degrees,96% would like to continue receiving the messages in the future,51% thought the biggest shortcoming of the messages was the poor relevance to their concern,and 70% wanted the most to receive short messages about clinical diagnosis and treatment.At present,39% of the doctors thought the most convenient approaches to get the updated medical knowledge are attending the study or training program organized by higher authorities,while 37% thought those are reading short messages on the mobile,websites or papers.Conclusion The village doctors are willing to receive the short messages about the best clinical evidence.However,both the receiving rate and use rate of the short messages have yet to improve.A complete SMS transmission system and highly-relevant contents are regarded as important guarantees for improving the receiving rate and use rate.