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，在过去的40年里，糖尿病的患病率稳步上升。超过1000万美国人受到影响，20岁以上成年人中患病率为7.8%，60岁以上人群中患病率为18.8%(Harris，1998)。超过十分之一的医疗保健资金和四分之一的医疗保险资金花在糖尿病患者身上(DRWG，1999)。尽管糖尿病患病率上升，但对初级保健从业者进行糖尿病管理培训仍然不够。该产品旨在帮助医生评估和管理被误诊、治疗不足或依从性差的糖尿病患者。我们建议的关于2型糖尿病的网站项目超越了教科书教学，强调多学科、实践和以问题为基础的学习。具体目标包括：与我们的顾问合作开发关于2型糖尿病的科学文献的内容库。设计和格式化基于网络的继续医学教育认证计划。为程序的一部分开发脚本和故事板。制作节目的一个基于网络的部分，以反映整个节目的质量。评估该计划的可行性，并启动继续医学教育认证。最终确定第二阶段的生产时间表、评估计划和预算。拟议的商业应用：该网站将作为继续医学教育课程向医院、管理保健和私人执业的82,000名全科医生销售。此外，它还将向美国的12.8万名内科医生和6.4万名家庭执业医生进行营销。

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.