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1.
文章旨在探讨城乡全科医生信息源以及互联网信息障碍的差异,以推进有针对性地为城乡全科医生提供优质的医疗信息服务,提高其医疗水平和服务能力。文章采用问卷调查法,通过便利采样在城市和农村的基层医疗机构回收有效问卷150份,并对采集到的数据进行统计分析。结果显示,城市和农村全科医生信息源的多样性及偏好并无显著差异,其对大部分信息源的感知有用性也趋同;但他们对同行信息源和非正式文件的感知有用性存在显著差异。互联网的使用频率、自我感知使用能力、接受互联网培训以及通过医疗网站为病人诊断等情况在城乡全科医生之间也无显著差异。在互联网信息障碍方面,城市和农村的全科医生都遇到了网络连接太慢以及软件问题;此外,农村全科医生还面临着语言障碍、缺乏熟悉度或经验以及信息过载等障碍。据此,文章提出,要重点提高农村全科医生的信息素养;大力发展全科医生的医学教育;进行城乡全科医生互联网技能培训,但由于城乡中基础设施和全科医生教育背景的差异,培训的内容和形式也要因地制宜、因人而异;加强互联网医疗信息资源建设;合理进行农村基层医疗机构的软硬件配置。 相似文献
2.
Background: Pharmacy is an information intensive profession and a pharmacist has to be proficient in health care information management. The advance in information technology and the use of computers to access, retrieve and analyse this information is increasingly important. Yet little is known about pharmacists’ computer literacy or information technology skills. Objectives: To gain a better understanding of pharmacists’ basic computer skills and their ability to use standard software. Methods: Self‐administered postal survey to 747 registered pharmacists residing in two counties of England. Results: A total of 386 (52%) pharmacists responded after two mailings. Most responding pharmacists used computers at work and at home. They believed their basic computing skills to be high, although acknowledged that they were skill deficient in using certain software packages. Internet use at work was low (43%) as too was awareness and use of online medical databases; this was reflected in online medical database training being identified as of greatest need. Conclusions: Pharmacists were confident in operating computer systems but identified a training need for particular software applications. Of concern is the limited knowledge they possessed and access they had on medical databases. 相似文献
3.
A survey to determine attitudes toward end-user searching was made at Loyola University's Medical Center Library using MEDIS, an online full-text and bibliographic medical retrieval system. One hundred forty-one completed questionnaires were analyzed for this report. Information was collected on user familiarity with computers, end-user training, system use, mechanics of searching, and attitudes toward future use. Computer familiarity was highest among the faculty users. Ninety percent of the respondents saw librarians as a crucial agent in training and in providing end-user assistance. Respondents identified five major reasons for using the system: helpfulness, convenience, time savings, rapid feedback, and presentation of needed information. Searching the MEDLINE database rather than the full-text database was the search method of choice. Continued use of both mediated and end-user searching was intended by most of the respondents. Survey results support a perceived need for end-user searching and confirmed recommendations of the Association of American Medical Colleges on medical information science skills. 相似文献
4.
OBJECTIVES: To assess the use of existing libraries; usage of the Internet and biomedical databases; and need for training on use of the Internet and biomedical databases for primary care staff. METHODS: A postal survey of general practitioners (GPs), practice nurses (PNs) and practice managers (PMs) in Nottingham and Rotherham, UK. RESULTS: Overall, 243 questionnaires were used. The response rate in Nottingham was 24%, in Rotherham it was 34%. Reported use of libraries was low (30%), with PNs reporting significantly higher usage (65%) than others (P < 0.01). Most respondents reported using the Internet (81%), but fewer (44%) reported using databases. GPs and PNs were significantly more likely to report using databases than PMs (P < 0.01). Lack of training was the most reported barrier to using the Internet (67%) and databases (52%). Overall, 52% of respondents reported wanting Internet training, 64% wanted database training. The percentages requesting training on databases were high among GPs and PNs, but significantly lower for PMs (P = 0.02). CONCLUSIONS: There are differences in the usage of libraries and electronic resources among the primary care team, and in reported training needs. While the reported levels of usage of the Internet and biomedical databases are encouraging, our study identified a training need. If met, this could increase usage further. 相似文献
5.
Objectives: For general practitioners (GPs), an important obstacle to practising evidence‐based medicine is lack of time. An evidence‐based answering service was developed that took over searching and appraisal of medical evidence from the GPs. GPs sent in questions, and the informationist formulated the answers. Our objectives were to find out if such an evidence‐based answering service was feasible, including assessing the effect of the answers on GPs and their patients, as reported by the GPs. Methods: After attending a workshop on building well‐formulated questions from daily practice, the GPs sent in questions to the informationist. The literature was searched, the relevant information was appraised, and the answers to the questions were formulated. With a questionnaire, the effect of the answers on the GP and the patient was assessed, as well as the perceived barriers to implementing the answers. Results: From 26 GPs, 61 questions were received. For 12% of questions, information was found with the highest evidence level, while for 36%, no information was found. However, for 89% of the questions for which no information could be found, the answer ‘no information found’ did have an effect on the GP concerned. In total, 81% of all the answers had an effect on the GP, and, according to the GP, 52% had an effect on the patient. Few barriers to implementing the evidence were perceived. Most of the answers were found in Pubmed/Medline, the Cochrane Library and Embase. Conclusions: This study indicates that an evidence‐based answering service can have an impact on GPs and their patients. Librarians can provide an evidence‐based answering service for GPs and their patients. The evidence‐based answering service for GPs in this study had an impact on 81% of the GPs and on 52% of their patients. Although for one‐third of the questions no evidence‐based answer was found, this message in itself had an impact on 89% of the GPs. An informationist as mediator between medical information and doctors can save doctors’ time. 相似文献
6.
This paper provides a narrative review of the available literature from the past 10 years (1996-2006) that focus on the information seeking behaviour of doctors. The review considers the literature in three sub-themes: Theme 1, the Information Needs of Doctors includes information need, frequency of doctors' questions and types of information needs; Theme 2, Information Seeking by Doctors embraces pattern of information resource use, time spent searching, barriers to information searching and information searching skills; Theme 3, Information Sources Utilized by Doctors comprises the number of sources utilized, comparison of information sources consulted, computer usage, ranking of information resources, printed resource use, personal digital assistant (PDA) use, electronic database use and the Internet. The review is wide ranging. It would seem that the traditional methods of face-to-face communication and use of hard-copy evidence still prevail amongst qualified medical staff in the clinical setting. The use of new technologies embracing the new digital age in information provision may influence this in the future. However, for now, it would seem that there is still research to be undertaken to uncover the most effective methods of encouraging clinicians to use the best evidence in everyday practice. 相似文献
7.
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
8.
文献检索方式的发展与提高期刊影响力 总被引：5，自引：2，他引：5
随着计算机和互联网的发展,科技文献的检索方式从手工检索发展为联机检索,使得期刊的影响范围从与发行量直接相关逐渐演变到与互联网相关;因此,认为可通过充分利用网络资源、重视综述性文章、使用通用语言等措施来提高期刊的影响力. 相似文献
9.
Atlas MC 《Medical reference services quarterly》2001,20(1):11-25
Physicians are becoming aware of the World Wide Web as a resource for medical information. In spring 1999, first-year students at the University of Louisville's School of Medicine were given an assignment to review and evaluate Internet search engines and directories, medicine-specific search engines and meta lists, and health-related Web sites. Students found that general search engines were easier to learn and use and produced better results than either meta medical sites or medicine-specific search engines. Students were very severe in judging the quality of health-related Web sites. Our students' impressions are compared to those of physicians in similar studies. Solutions to the problems of searching the Web for health information are reviewed. 相似文献
10.
探讨医疗服务市场中信息搜寻行为的特性,研究患者在医疗服务市场中进行信息搜寻的成本、搜寻次数以及搜寻结果并讨论造成现状的原因。方法：主要从患者的角度,运用搜寻理论及有关方法,通过设计问卷,进行实地调查,分析信息非对称状态下的患者在就医过程中获取信息的途径、方法、时间等。结果：患者对健康信息的渴求与成本投入之间存在很大差异;患者在就医过程中存在一定盲目性;患者对于医疗质量信息的需求量大但不足。结论：患者通过网络等对健康知识的搜寻最有必要,通过医务工作者或者医院的网络平台是获得就医信息、增加医疗服务收益的最佳途径。 相似文献
11.
Zach L Dalrymple PW Rogers ML Williver-Farr H 《Health information and libraries journal》2012,29(1):61-71
Background: The relationship between health information seeking, patient engagement and health literacy is not well understood. This is especially true in medically underserved populations, which are often viewed as having limited access to health information. Objective: To improve communication between an urban health centre and the community it serves, a team of library and information science researchers undertook an assessment of patients’ level and methods of access to and use of the Internet. Methods: Data were collected in 53 face‐to‐face anonymous interviews with patients at the centre. Interviews were tape‐recorded for referential accuracy, and data were analysed to identify patterns of access and use. Results: Seventy‐two percentage of study participants reported having access to the Internet through either computers or cell phones. Barriers to Internet access were predominantly lack of equipment or training rather than lack of interest. Only 21% of those with Internet access reported using the Internet to look for health information. Conclusion: The findings suggest that lack of access to the Internet in itself is not the primary barrier to seeking health information in this population and that the digital divide exists not at the level of information access but rather at the level of information use. 相似文献
12.
Objective: To examine the extent to which health information seeking behaviors vary across genders or are differentially associated with access to computers, the Internet, and online health information. Research design: Stratified survey, data analysis. Methods: Using binary logistic regression we examine information seeking differences between demographic groups. Questions addressed include: 1) Are any identified groups significantly underserved regarding access to computers, access to the Internet, and preferences for seeking online health information, and 2) have differences between gender groups in access to computers, Internet services and online health information narrowed, remained constant, or widened over recent years, following recent national initiatives to narrow the technology gap for underserved populations? Outcomes: Information seeking variation across gender groups and between technologies was at times significant. There was little difference in the access to computer between females and males. In 2002, 75.4% and 73.1% of female and male participants reported that they occasionally use computers, respectively. In 2000, the respective figures were 72.4% and 72.7%. The rates of use of Internet services among computer users, however, were quite different between female and male (Pat 2002= 0.0002 and Pat 2000= 0.0082) and the disparity in 2000 (OR = 0.7366 [0.5870, 0.9243]) increased in 2002 (OR = 0.5675 [0.4222, 0.7627]). The odds ratios (OR) indicate that females were 0.7366 and 0.5675 times less likely to use computers than male counterparts in 2000 and 2002, respectively. Conclusion: Recent technology initiatives in the US aimed at reducing disparities in access to online resources appear to have had little effect in facilitating equal access to web‐based health information. 相似文献
13.
Short MW 《Bulletin of the Medical Library Association》1999,87(2):206-210
A survey of 131 eastern Washington rural family physicians showed that 59.5% owned a personal computer with a CD-ROM drive. There was an inverse correlation between the physicians' years in practice and computer ownership: 10 years or less (80.6%), 11 to 20 years (72.2%), 21 to 30 years (55.6%), and more than 30 years (32.4%). Those physicians who owned a computer used their CD-ROM for entertainment (52.6%), medical textbooks (44.9%), literature searching software (25.6%), drug information (17.9%), continuing medical education (15.4%), and journals on CD-ROM (11.5%). Many rural doctors who owned computers felt that CD-ROM software helped them provide better patient care (46.8%) and kept them current on new information and techniques (48.4%). Indications for medical education, libraries and CD-ROM publishers are noted. 相似文献
14.
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
15.
This study reports the results of a survey conducted at Aligarh Muslim University (AMU) to determine the extent to which Internet users are aware and make use of the Internet resources and services. The study examines the information searching behavior of Internet users. A questionnaire and follow-up interviews with the postgraduate students, research scholars and academic staff were conducted to collect data. A total of 489 questionnaires were distributed to the selected sample of eight faculties; 405 valid samples were collected. The data were analyzed according to the background of Internet users, Internet information searching behavior, use of Internet resources and services, quality of Internet information, problems of the Internet access and need for Internet literacy. The study found that the majority of respondents had a 5 year history of Internet access. The academic staff spent more time on the Internet than the students and research scholars. Although Internet search engines were the preferred information searching tool, other methods such as databases, gateways and World Wide Web (WWW) were also used. Online journals and databases were the preferred information sources among the Internet users. Respondents chose e-mail, WWW and search engines as important Internet services. About 60% of respondents believed that the good quality of information on the Internet made it a useful tool for education and research. Slow speed, lack of training and information overload were indicated as some of the factors affecting Internet usage. Further, recommendations are made to improve the use of Internet, including a well-planned Internet literacy program and preparation of subject gateways. 相似文献
16.
Little research has explored how exactly information processes relate to their context. Context is defined as all those things which are not an inherent part of information phenomena, but which nevertheless bear some relation to these. This article addresses the issue by discussing empirical findings from a study on Internet searching and personal development. The purpose of the article is to construct a general typology for researching the links between information seeking and its context. Grounded analysis of the whole corpus revealed 11 different relationships between Internet searching and the goals of personal development. Because these seem to be quite generalizable to information seeking in other contexts (e.g., parenting or location), too, they were then abstracted into four generic relationships: detachment, unity, direction, and interaction. The classifications are offered as tools for understanding information seeking more contextually and for conducting further research in this area. 相似文献
17.
《The Reference Librarian》2013,54(55):99-105
The Internet is a technology that is opening vast new doors to public librarians and patrons. Enhanced service to job hunters is one of these new doors. There are many resources on the Internet of potential use to job seekers as well as sophisticated tools for finding these resources. Offering access to job searching on the Internet will require a great deal of equipment, planning, preparation and expertise. This paper will examine the possibilities and practicalities for the public library. 相似文献
18.
Abstract With the blooming of information in digital format, dissemination of information is becoming a big challenge for developing countries. It is not only due to the limited provision of personal computersin addition, the technological infrastructure and the ability to access information are also becoming major concerns in developing countries. This paper examines the situation in the Asian developing countries as an example to illustrate the difficulties with the dissemination of information. The availability of personal computers is not the only difficulty facing developing countries. The availability and popularity of the Internet, the telecommunication policies and environment of the countries concerned, the information literacy level of the users and the librarians, the popularity of the English language, the knowledge of searching information on the Internet, and the maturity of the electronic publishing market are all inter-related and have affected the success of information dissemination. Recent developments in tackling the problems are also described. 相似文献
19.
Objectives: Assessment of the usage of medical library services before and after the implementation of several new services, as well as assessment of the clinical impact of the information provided by the medical library. Methods: A sample of employees, residents and physicians were surveyed using a stratified, random selection process in two surveys 4 years apart. The response rate for the first survey was 52% and the response rate for the second survey was 35.2%. Results: Differences in usage included increased overall use of the librarians and library services, decreased use of the Internet as a source of information, and direct and indirect impacts upon patient care. Information needs of respondents also increased to where 65% of employees and 94% of physicians require information at least once a week. Patient management was the main reason for needing information. The top two specific uses were to find out about a condition and determine a treatment plan. Conclusions: These findings parallel some of the findings of other researchers, and contradict the findings of others. Possible explanations for these findings and implications for future research are discussed. 相似文献
20.
因特网与科技信息检索 总被引：13，自引：0，他引：13
因特网对传统的科技信息检索带来了巨大的挑战和冲击,如何利用这一现代化的技术手段进行快速、准确、高效的科技信息检索,是广大专业技术人员和科技情报工作者十分关心的问题.本文通过对网上信息资源的分析,探讨了利用因特网检索科技信息的常用方法和技巧. 相似文献