Effective translation of relevant knowledge into clinical practice is essential for modern health care systems. National Disease Management Guidelines (NDMG) are considered relevant instruments to support this transfer. To implement NDMG Internet-based continuing medical education (CME), modules and online case-based learning objects were designed and published. To ensure high quality the contents are based on NDMG and subjected to multi-step review processes. Presentation on the web was realized through a modified content management system. To obtain a CME certificate, completing an online questionnaire using a four-point Likert scale was mandatory. Between June 2003 and April 2005, 3,105 physicians were registered and used the platform: 95% of the physicians expressed positive feedback in the evaluation questionnaire, and 35% actually used the corresponding NDMG in practice. This prompted the development of interactive medical case-based learning objects as a second learning pathway. An Internet platform for CME including case-based learning objects can be a helpful tool to assure the provision of scientific knowledge for patient care.
ZusammenfassungDa die Zahl der Internetnutzer in Deutschland ständig zunimmt, nutzen sie das neue Medium auch vermehrt zur Suche nach Gesundheitsinformationen. Zur Internetnutzung für medizinische Themen liegen wenige Untersuchungen vor. In einer Studie hierzu gaben im Jahr 2004 über 50 Prozent der Teilnehmer an, im Internet nach Gesundheitsinformationen zu recherchieren. Dieser Begriff beinhaltet jedoch verschiedenste Themen von Wellness bis hin zu seltenen Erkrankungen. Die Qualität des unüberschau-baren Angebots und die dahinterstehenden Interessen sind jedoch sehr unterschiedlich. Bei denjenigen, die im Web nach medizinischen Informationen suchen, handelt es sich in der Mehrzahl um jüngere Menschen mit einer guten Schulbildung. Die meisten von ihnen informieren sich für den eigenen Bedarf. Bei den verwandten Suchinstrumenten überwiegen die großen Suchmaschinen wie Google oder Yahoo, "Lesezeichen" oder spezielle Suchstrategien werden kaum genutzt. Trotzdem finden die meisten Benutzer innerhalb kurzer Zeit Informationen zum gesuchten Thema. Allerdings sind sich dabei nur wenige von ihnen der Quellen der gefundenen Antworten bewusst. In letzter Zeit finden "Qualitätssiegel" wie HON oder afgis zunehmende Verbreitung. Allerdings garantieren auch sie keine 100-prozentige Sicherheit für aktuelle, hochwertige Informationen. Qualitäts-instrumente wie Discern/Check-in oder Manuale vom ÄZQ und IQWIG bieten Hilfe zur Erstellung und Beurteilung von medizinischen Informationen. Bei einer entsprechenden Befragung in
AbstractThe number of Germans using the Internet keeps constantly growing and the new medium is increasingly searched for health information. Few data are available about the Internet-use for medical questions. In a study addressing this topic in 2004, more than half of the participants declared to search the web for health information. But this term includes different topicsfrom wellness to orphan diseases. The quality of the immense choice as well as the interests of the providers are extremely diverse. The majority of people searching the web for medical information is rather young and well trained, mostly seeking for themselves. Big search engines such as Google or Yahoo are preferentially used; bookmarks, Boolean operators or specific search strategies are hardly applied. Nevertheless most users feel that they get their questions answered in appropriate time; but only a minority is aware about the sources of the information retrieved. Recently "certificates of quality" such as HON and afgis gain growing importance, although they do not guarantee updated and high quality information. Help to generate and check quality of medical information is offered through instruments like DISCERN/check-in and manuals provided by the AQUMED and the IQWIG. An American study showed, that the majority of patients as well as most physicians agreed, that doctors should indicate quality approved health care sites to their patients. For physicians this offers the opportunity to gain a new competence featuring a value for patient...
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