Managing Type 2 Diabetes: A Web Site for Physicians

糖尿病是美国发病率和死亡率的主要原因，在过去四十年中患病率稳步上升。超过1000万美国人受到影响，20岁以上成年人的患病率为7.8%，60岁以上的患病率为18.8%（Harris，1998）。超过十分之一的医疗保健费用和四分之一的医疗保险费用用于糖尿病患者（DRWG，1999）。尽管糖尿病发病率上升，但对初级保健从业人员进行糖尿病管理的培训仍然不足。该产品将旨在帮助从业者评估和管理被误诊，治疗不足或依从性差的糖尿病患者。我们提出的关于2型糖尿病的网站计划通过强调多学科、动手、基于问题的学习而超越了教科书教学。具体目标包括：与我们的顾问合作开发2型糖尿病科学文献的内容库。设计和格式化基于Web的程序继续医学教育认证。为节目的一个部分开发一个脚本和故事板。制作一个基于网络的程序部分，以反映整个程序的质量。评估项目的可行性并启动继续医学教育认证。完成第二阶段的生产进度、评估计划和预算。拟议的商业应用：这个网站将作为一个继续医学教育课程销售给82,000名全科医生在医院，管理式医疗，和私人执业。此外，它还将面向美国的128，000名内科医生和64，000名家庭医生。

Diabetes is a major cause of morbidity and mortality in the US, with prevalence increasing steadily over the past four decades. Over 10 million Americans are affected, with a prevalence of 7.8% among adults over age 20 years and 18.8% among those over age 60 (Harris, 1998). More than one in ten health care dollars and one in four Medicare dollars are spent on people with diabetes (DRWG, 1999). Despite the rise in diabetes, training primary care practitioners on diabetes management remains inadequate. This product will be designed to help practitioners evaluate and manage diabetes patients who are misdiagnosed, under- treated or have poor compliance. Our proposed Web site program on type 2 diabetes goes beyond text-book teaching by emphasizing multi- disciplinary, hands-on, problem-based learning. Specific goals include: Developing content base din collaboration with our consultant on scientific literature on type 2 diabetes. Designing and formatting the Web-based program for CME accreditation. Developing a script and storyboard for one section of the program. Producing one Web-based section of the program to reflect quality of the full program. Evaluating feasibility of the program and initiating CME accreditation. Finalizing a production schedule, evaluation plan, and budget for Phase II. PROPOSED COMMERCIAL APPLICATIONS: This Web site will be marketed as a CME course to the 82,000 general practitioners in hospital, managed care, and private practice. In addition, it will be marketed to the 128,000 internal Medicine physicians and 64,000 Family Practice Physicians in the US.