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BACKGROUND: Doctors need information skills to deliver health care in the 21st century. There is concern that those who trained before the 'information age' will be inadequately equipped for their work. OBJECTIVES: To assess doctors' use of computers for clinical tasks, and their knowledge and skills in health information management and technology. DESIGN: Questionnaire survey. SETTING: An acute NHS trust in the UK. PARTICIPANTS: 96 (83%) of all doctors in the trust responded. MAIN OUTCOME MEASURES: Proportion of respondents reporting the following: use of computer-based systems for clinical tasks, knowledge in eight health informatics topics, skills in using specific hardware and software applications. Also comparison of reported skills between senior and junior staff; proportion of doctors identifying specific training needs. RESULTS: All but one (1%) of the responding doctors used a computer regularly. Over three quarters of respondents reported they were semi-skilled or fully skilled in basic office applications, though the juniors scored significantly more highly than the seniors for some applications. However, 44% of doctors reported no skills in database software, identifying this as a training need. Around half of the doctors were unaware of health informatics topics, including electronic patient records, the Caldicott report and data protection law. In each case the senior doctors were significantly more aware than the juniors of the topic in question. CONCLUSION: Both junior and senior doctors have basic computer literacy, but nearly half of this population identify the use of database software as a training need. In addition, there are several health informatics topics of which a large proportion of doctors, particularly the juniors, have little knowledge, but which have not been identified as training needs. Some recommendations are made for provision of in-house health informatics education for doctors. 相似文献
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Karen Davies 《Health information and libraries journal》2009,26(4):289-297
Background and objectives: The main objective of this paper is to determine the frequency of doctors’ clinical information needs using Clinical Librarians as data collectors, focusing on the UK acute sector. Additionally, the frequency of questions followed‐up by Clinical Librarians was determined. The information needs of doctors have been investigated in other countries, particularly the USA, but not in the UK. Clinical Librarians have not been utilized as data collectors in any previous studies. Method: Clinical Librarians counted clinical questions posed by doctors in clinical settings. Results: The Clinical Librarians counted 286 questions from 655 doctors discussing 1210 patient cases. This represents approximately one question for every four patients. Conclusion: Clinical Librarians can collect data to identify the number of information needs doctors have, but this was more successful when the Clinical Librarian was experienced and an established part of the clinical team. 相似文献
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在线医疗社区患者择医行为影响因素研究 总被引：5，自引：1，他引：4
[目的/意义]在线医疗社区作为新型医患互动的医疗服务平台，其中的咨询服务是社区吸引用户的重要功能，而付费咨询也是社区赢利的关键模块。了解付费咨询时患者择医行为的信息需求与影响因素，能够更好地改善医生的服务、提升社区活力。[方法/过程]基于消费者信任理论和消费者感知理论，同时考虑在线社区的研究背景，创新地加入价格和从众心理的作用，建立在线医疗社区患者择医行为的影响模型，并以好大夫在线为例，爬取网站数据进行回归分析，以验证变量之间的因果关联。[结果/结论]实证分析证实医生的线下声誉、线上口碑、服务质量、贡献价值、热度以及价格等因素对患者择医行为的影响，且患者线上择医行为也表现出与传统线下择医的差异。研究结果可为医生改进服务和平台社区促活增收提供参考建议。 相似文献
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E. Z. Suleimenov 《Scientific and Technical Information Processing》2011,38(2):132-142
The problem of Kazakhstan’s performance in scientific activities as compared with the other Commonwealth countries according
to scientific research costs, the number of institutions engaging in research and development activities, the financing sources,
the staff number (specialists, doctors and candidates of sciences, salary level, and equipment costs) is discussed. Conclusions
on the condition of science in Kazakhstan are given. 相似文献
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Brian L. Quick Ph.D. 《广播与电子媒介杂志》2013,57(1):38-55
The present investigation applies cultivation theory to describe the role of viewing Grey's Anatomy on patients' predispositions. Results demonstrate that heavy viewers of Grey's Anatomy perceive this program to be credible. Credibility was positively associated with a perception that real-world doctors are courageous. A direct association did not emerge between Grey's Anatomy viewing and a perception that doctors are courageous, although an indirect effect emerged, mediated through credibility. A positive association emerged between perceptions that doctors are courageous and patient satisfaction. Results are discussed with an emphasis on the role of entertainment programs in cultivating patients' predispositions about medical doctors. 相似文献
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The objective of this study was to find out more about the information needs of doctors‐in‐training and to identify their preferred sources of information. The methodology included interviews with consultants and administrators, a focus group discussion with library staff and a postal questionnaire sent to 347 doctors‐in‐training (there was a 43% return). The shortcomings of a questionnaire primarily composed of closed questions were addressed by the inclusion of one‐to‐one interviews which offered the opportunity for more in‐depth commentary on specific issues highlighted in the questionnaire. Results indicated the frequency with which various types of information sources were consulted and how this related to the ‘ease of access’ of each information source. There was also the opportunity to comment on future information needs. It was clear from the interviews as well as comments made on the questionnaire that the two most important requirements for doctors‐in‐training were ‘more time to find and obtain information’ and ‘better access to information sources when and where they are needed’. The results, although not surprising, included specific suggestions that have been used for the strategic planning of the library service to deliver the best possible support to users within the current framework of evidence‐based medicine. 相似文献
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《The Reference Librarian》2013,54(61-62):131-146
Summary The atrocities produced by Nazi doctors during the Holocaust have left a lasting imprint on contemporary society and, in particular, the health professions. The discovery of the Nazi origins of a classic anatomy atlas is just one of many examples of scientific information obtained by doctors who violated the Hippocratic Oath and abused their power in the name of science. The focus of this paper is on how the origins of the Pernkopf anatomy atlas became known over 50 years after its creation. The ethical dilemmas that doctors and medical centers face as a result of this and other potentially tainted data is reviewed. 相似文献
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试论新闻学博士生的专业动手能力 总被引：2，自引：0，他引：2
在网络媒体挑战和中国加入WTO的形势下,媒体的发展对新闻学教育提出了越来越高的要求。新闻学院培养的人才只有更好地为媒体服务,才是我们教育的成功。作为新闻学高端人才的新闻学博士,不仅应该在国内外新闻传播研究领域有自己的建树,在学术会议上有自己的声音,而且还应该对包括新闻业务实践在内的媒体变化有所了解。当代新闻学博士生教育培养的学生应该是:以社会的需要和视角研究和发展新闻理论,用新闻理论知识说明并服务于社会。 相似文献
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INTRODUCTION: This study explores the numbers of learning resources physicians use at each stage in self-directed learning episodes addressing general problems. MATERIALS AND METHODS: A survey of a statewide random sample of doctors estimated the number of resources used at each stage in solving various general problems. RESULTS: The 50% response rate for faculty allowed generalization of findings to the population of these physicians; the rate for nonfaculty physicians was too low to allow generalization. Faculty findings showed (1) broader resource use in learning about diseases than diagnosis or therapeutics (2) comparable numbers of resources used in deciding whether to take on the learning problem and learning the required skills and knowledge, (3) greater numbers of resources selected to evaluate the problem and to learn the required skills and knowledge than to gain experience with the newly learned skills and knowledge, and (4) support for assertions that doctors value learning resources that are accessible, applicable, familiar, and time effective. DISCUSSION: The findings were interpreted in light of theory describing physicians' self-directed learning episodes, and implications are presented for physicians-in-training, physicians, and medical librarians. 相似文献
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"阅读治疗"概念之辨析 总被引：5，自引：0，他引：5
随着阅读治疗的研究、引进工作在我国的启动，阅读治疗的研究和实践正在日益引起我国图书馆界、医学界、心理学界的普遍关注。本文旨在梳理、明辨、分析阅读治疗的概念，并就其未来发展进行宏观的概括。 相似文献
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《Government Information Quarterly》2019,36(2):368-383
The nascent adoption of Artificial Intelligence (AI) in the public sector is being assessed in contradictory ways. But while there is increasing speculation about both its dangers and its benefits, there is very little empirical research to substantiate them. This study aims at mapping the challenges in the adoption of AI in the public sector as perceived by key stakeholders. Drawing on the theoretical lens of framing, we analyse a case of adoption of the AI system IBM Watson in public healthcare in China, to map how three groups of stakeholders (government policy-makers, hospital managers/doctors, and Information Technology (IT) firm managers) perceive the challenges of AI adoption in the public sector. Findings show that different stakeholders have diverse, and sometimes contradictory, framings of the challenges. We contribute to research by providing an empirical basis to claims of AI challenges in the public sector, and to practice by providing four sets of guidelines for the governance of AI adoption in the public sector. 相似文献
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Paula Younger 《Health information and libraries journal》2010,27(1):2-10
Background: Reviews of how doctors and nurses search for online information are relatively rare, particularly where research examines how they decide whether to use Internet‐based resources. Original research into their online searching behaviour is also rare, particularly in real world clinical settings. as is original research into their online searching behaviour. This review collates some of the existing evidence, from 1995 to 2009. Objectives: To establish whether there are any significant differences in the ways and reasons why doctors and nurses seek out online information; to establish how nurses and doctors locate information online; to establish whether any conclusions can be drawn from the existing evidence that might assist health and medical libraries in supporting users. Methods: An initial scoping literature search was carried out on PubMed and CINAHL to identify existing reviews of the subject area and relevant original research between 1995 and 2009. Following refinement, further searches were carried out on Embase (Ovid), LISA and LISTA. Following the initial scoping search, two journals were identified as particularly relevant for further table of contents searching. Articles were exclused where the main focus was on patients searching for information or where the focus was the evaluation of online‐based educational software or tutorials. Articles were included if they were review or meta‐analysis articles, where they reported original research, and where the primary focus of the online search was for participants’ ongoing Continuing Professional Development (CPD). The relevant articles are outlined, with details of numbers of participants, response rates, and the user groups. Results: There appear to be no significant differences between the reasons why doctors and nurses seek online Internet‐based evidence, or the ways in which they locate that evidence. Reasons for searching for information online are broadly the same: primarily patient care and CPD (Continuing Professional Development). The perceived barriers to accessing online information are the same in both groups. There is a lack of awareness of the library as a potential online information enabler. Conclusions: Libraries need to examine their policy and practice to ensure that they facilitate access to online evidence‐based information, particularly where users are geographically remote or based in the community rather than in a hospital setting. Librarians also need to take into account the fact that medical professionals on duty may not be able to take advantage of the academic model of online information research. Further research is recommended into the difference between the idealised academic model of searching and real world practicalities; and how other user groups search, for example patients. 相似文献
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《广播与电子媒介杂志》2013,57(3):499-521
Although fictional television traditionally has portrayed doctors positively, recent fictional programming appears to portray physicians in a less positive manner. It has also been suggested that these images may conflict with depictions of doctors found on non-fictional television. A content analysis conducted here indicates that television's physician portrayals are less positive than they were in 1992, contemporary genres differ in their physician depictions, and television's doctor portrayals do not differ according to sex or race. 相似文献
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Bryant SL 《Health information and libraries journal》2004,21(2):84-93
AIMS: To explore the information needs and information seeking behaviour of family doctors, identifying any differences in attitudes and behaviours deriving from membership of a training practice and investigating the impact of a practice librarian. METHODS: A case study of general practitioners (GPs) in Aylesbury Vale incorporated a quantitative study of use of the medical library, and two qualitative techniques, in-depth interviews and group discussions. RESULTS: A total of 58 GPs, almost three quarters of those in the Vale, participated; 19 via individual interviews and a further 39 via two group discussions. Family doctors are prompted to seek information by needs arising from a combination of professional responsibilities and personal characteristics. A need for problem-orientated information, related to the care of individual patients, was the predominant factor that prompted these GPs to seek information. Personal collections remain the preferred information resource; electronic sources rank second. The study demonstrated low use of the medical library. However, both vocational training and the employment of a practice librarian impacted on library use. CONCLUSIONS: The study illuminates the information needs and preferences of GPs and illustrates the contribution that librarians may make at practice level, indicating the importance of outreach work. 相似文献
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孙志梅 《大学图书情报学刊》2010,28(4):77-80
文章通过对我国高校竞争情报专业硕士点与博士点的具体分布、研究方向的统计分析,以及对1996-2009年间中国期刊网（CNKI）收录的关于竞争情报教育论文的统计分析,揭示了目前高等学校竞争情报教育的现状及存在的问题,并针对问题提出了相应对策。 相似文献
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随着“互联网+健康医疗”的发展,越来越多的患者(或患者的代理人,本文统称为“用户”)寻求通过在线健康医疗平台与医生交互,完成问诊过程。本研究关注在缺乏面对面沟通的网络环境下,如何帮助用户-医生实现虚拟空间的有效交互,针对在线健康医疗平台中的用户-医生交互进行研究,以识别交互的模式和特征。通过爬虫技术获取了“春雨医生”网站1017组用户与医生的交互会话,本研究采用开放编码和会话分析相结合的方法,发现螺旋式和直线式是最主要的交互模式,构建了两种模式的理论模型,并揭示了两种模式的交互特征。此外,发现用户对初始问题描述的清晰和详尽程度是影响交互效率的关键因素。本研究有助于提升用户和医生借助在线健康医疗平台进行的交互效率,优化此类系统或平台的用户交互体验设计,为未来研究不同角色参与的在线智能交互健康医疗平台提供了借鉴意义。 相似文献
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目的：梳理美国生物医学信息学教育博、硕士培养的学科体系、课程设置、培养方案和培养方向的变化,为我国医学信息学教育提供参考.方法：通过网络调查,纵向比较斯坦福大学、哥伦比亚大学的课程体系设置,同时与华盛顿大学、新泽西医科和牙科大学的培养方案进行横向比较.结果：4所高校的培养目标基本一致,培养层次以硕士研究生、博士研究生为主.本科阶段的学习使学生具有较全面的医学专业知识因而了解医学领域信息需求.课程设置方面信息学与医学结合非常紧密.结论：我国应重新设计医学信息专业基础医学课程,使学生能够深入理解医学领域的本质和特点及其信息需求,从而找到信息与医学的结合点. 相似文献
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