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1.
Roberta Bronson Fitzpatrick 《Medical reference services quarterly》2013,32(4):419-429
ABSTRACT The CMA Infobase is a free Web-based resource that contains evidence-based clinical practice guidelines. The database is maintained by the Canadian Medical Association (CMA) and is available on its Web site. The CMA Infobase currently contains 1,200-plus clinical practice guidelines either developed or endorsed by an authoritative health care organization located in Canada. It is an alternative source of free clinical practice guidelines to the National Guideline Clearinghouse. This column will cover the basics of CMA Infobase, including searching, special features, and available resources which complement the database. 相似文献
2.
临床实践指南(简称指南)和专家共识(简称共识)作为医疗实践的重要指导性文件,可以规范医务人员的诊疗行为,提升医疗服务质量、降低医疗成本,是医务人员进行决策的准则和依据。指南/共识的规范化报告有助于提升其学术质量、权威性和透明性,可以促进其有效传播与实施,因此提升指南/共识报告质量具有重要现实意义。本文分析了目前我国医学科技期刊指南/共识的报告现状及存在问题,并从出台相关政策、开展培训、宣传推广等方面提出相应建议与对策,以期为提升我国指南/共识报告质量提供思路,推进医学期刊高质量发展。 相似文献
3.
DynaMed Plus® from EBSCO Health is an evidence-based tool that health professionals can use to inform clinical care. DynaMed Plus content undergoes a review process, and the evidence is synthesized in detailed topic overviews. A unique three-level rating scale is used to assess the quality of available evidence. Topic overviews summarize current evidence and provide recommendations to support health providers at the point-of-care. Additionally, DynaMed Plus content can be accessed via a desktop computer or mobile platforms. Given this, DynaMed Plus can be a time-saving resource for health providers. Overall, DynaMed Plus provides evidence summaries using an easy-to-read bullet format, and the resource incorporates images, clinical calculators, patient handouts, and practice guidelines in one place. 相似文献
4.
Elisia L. Cohen Allison M. Scott Rachael Record Sara Shaunfield M. Grace Jones Tom Collins 《Journal of Applied Communication Research》2016,44(1):22-39
Changes to the United States Preventive Services Task Force (USPSTF) recommendations for cervical cancer preventive services have led to patient confusion, especially in medically underserved populations. We investigated how patient uncertainty concerning cervical cancer screening guidelines is appraised and managed through communication with healthcare providers by conducting in-depth, face-to-face interviews with 24 adult women between the ages of 24 and 65 (m?=?41, SD?=?14) living in Appalachia Kentucky. In general, participants expressed a high degree of uncertainty about the updated cervical cancer screening guidelines and appraised this uncertainty as both a danger and an opportunity. Communication with healthcare providers served both to exacerbate and to mitigate patient uncertainty. The study identifies how healthcare providers may use the change in USPSTF guidelines as a “teachable moment” to productively counsel patients on the importance of timely screening, the typical progression of certain types of high-risk HPV (human papillomavirus) infection to cervical cancer, and the importance of follow-up care. 相似文献
5.
The Southeast Florida AIDS Information Network: a community outreach, specialized information system
In the years ahead, end-user instruction will expand from the current models of curriculum- and institution-based programs for teaching MEDLINE to include outreach programs to unaffiliated users for teaching specialized database searching. The Southeast Florida AIDS Information Network (SEFAIN), a community-based information system targeting health care providers in a tri-county area, is an example of this new model. The components of SEFAIN and the results of the outreach and educational programs are presented. The advantages of these programs to both providers and librarians are highlighted. Comparisons are drawn between end users who take specialized information courses and those who take MEDLINE courses or no courses. These data will assist librarians in the justification and development of specialized information systems. 相似文献
6.
BACKGROUND: The National Library for Health offers a comprehensive searchable database of nationally approved clinical guidelines, called the Guidelines Finder. This resource, commissioned in 2002, is managed and developed by the University of Sheffield Health Sciences Library. METHODS: The authors introduce the historical and political dimension of guidelines and the nature of guidelines as a mechanism to ensure clinical effectiveness in practice. The article then outlines the maintenance and organisation of the Guidelines Finder database itself, the criteria for selection, who publishes guidelines and guideline formats, usage of the Guidelines Finder service and finally looks at some lessons learnt from a local library offering a national service. CONCLUSIONS: Clinical guidelines are central to effective clinical practice at the national, organisational and individual level. The Guidelines Finder is one of the most visited resources within the National Library for Health and is successful in answering information needs related to specific patient care, clinical research, guideline development and education. 相似文献
7.
[目的/意义]学术成果被国际临床指南引用,作为追踪学术成果应用到临床实践的一种重要指标,已用于多个国家科技评价中衡量医学研究影响力。但我国尚未有研究探讨医学领域研究成果被临床指南引用情况及论文特征。[方法/过程]本研究以呼吸病学领域为例,采用专家咨询法确定国际临床指南,通过背对背方式对论文被指南引用性质和研究类型进行注释,应用文献计量法对引用情感、引用论文的年龄、研究类型等被引论文特征进行分析。[局限]本研究仅分析了成功被临床指南引用的论文,而已经发表的与分析指南所涵盖的主题潜在相关但未在临床指南中引用的论文数量尚未得知。[结果/结论]结果发现临床指南引用的论文知识周期中值时间为4年,93.55%为临床研究,100%为正面引用和中性引用,13.86%发表在影响因子在10分以上的期刊,51.49%被基金资助,63.89%为国内合作。本研究所揭示的指南引用论文特征将为提高我国临床医学研究影响力提供一定的参考依据。 相似文献
8.
Michelle Sergison 《Health information and libraries journal》1999,16(2):106-111
Skill mix in primary care should be governed by research-based evidence of how skills may best be distributed among health professionals in order to optimize the cost-effectiveness of health service delivery. There is a dearth of research in this area, yet many changes in skill mix within primary care have still to be adequately researched. Existing evidence of the nature and cost-effectiveness of skill mix change is scattered across the specialist literature of many different disciplinary groups, making it difficult to form a coherent overview of service provision. This paper reports on a project that sought to create a comprehensive database bringing together specialist literature relating to skill mix in primary care, as resource for health services researchers, providers and purchasers in the UK. 相似文献
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10.
Janet Chan 《Journal of the Medical Library Association》2021,109(3):376
Technology advances in eHealth and mHealth are changing the way that health care consumers and providers communicate, receive and deliver care, and access health information. As electronic health records and smartphones have become ubiquitous in the United States, opportunities and applications for the integration of eHealth and mHealth have increased. In addition to technology advances, the changing health care model is simultaneously adapting to and driving initiatives in digital health care. With these digital initiatives have come challenges, including data overload, security and privacy concerns, deficits in technological and health literacy skills, and sorting through the vast number of choices of digital applications. Navigating this changing landscape can be overwhelming and time consuming for both health care providers and consumers. Librarians are uniquely positioned to assist providers and consumers to break down barriers within the digital health care landscape through data management initiatives, technology and health literacy instruction, and finding and evaluating health information and digital health technologies. 相似文献
11.
The use of rural sites to train badly needed primary care providers requires access to sophisticated medical information not traditionally available outside of academic health centers. Medical reference librarians can play a key role in the development of primary care training sites in rural settings. Electronic information technologies, with proactive support from medical reference librarians, can provide current and detailed information without concern for distance from the health science center library. This paper discusses recent developments in technology, describes current challenges to the application of this technology in rural settings, and provides policy recommendations for medical reference librarians to enhance rural primary care training. 相似文献
12.
McDuffee DC 《Bulletin of the Medical Library Association》2000,88(4):362-366
The North Carolina Area Health Education Centers Library and Information Services (NC AHEC LIS) Network provides library outreach services to rural health care providers in all nine AHEC regions of North Carolina. Over the last twenty-five years, the AHEC and university-based librarians have collaborated to create a model program for support of community-based clinical education and information access for rural health care providers. Through several collaborative projects, they have supported Internet access for rural health clinics. The NC AHEC Digital Library--under development by NC AHEC, University of North Carolina at Chapel Hill, Duke University, East Carolina University, and Wake Forest University--will further extend access to electronic biomedical information and resources to health professionals in a statewide digital library. 相似文献
13.
《Government Information Quarterly》2004,21(2):125-142
In 2001, the New Zealand government launched an ambitious health care information management and technology strategy that seeks to integrate the health sector, facilitate electronic health records and information portability and give patients greater information access. This article looks at the prospects for the strategy, against a background of extensive public health system restructuring in the 1990s. It notes that through this period, health purchasers and providers developed information systems in isolation from one another and with minimal central oversight. The result is a highly complex and firmly established architecture and an array of problems that need rectifying. Combined with present decentralised health structures, government capacity to influence activities is limited. The article concludes by reviewing current developments noting that advancement on the government's goals is likely to be incremental, across a range of areas, sometimes driven by providers and sometimes by central agencies. 相似文献
14.
Diana C. McDuffee 《Journal of the Medical Library Association》2000,88(4):362-366
The North Carolina Area Health Education Centers Library and Information Services (NC AHEC LIS) Network provides library outreach services to rural health care providers in all nine AHEC regions of North Carolina. Over the last twenty-five years, the AHEC and university-based librarians have collaborated to create a model program for support of community-based clinical education and information access for rural health care providers. Through several collaborative projects, they have supported Internet access for rural health clinics. The NC AHEC Digital Library—under development by NC AHEC, University of North Carolina at Chapel Hill, Duke University, East Carolina University, and Wake Forest University—will further extend access to electronic biomedical information and resources to health professionals in a statewide digital library. 相似文献
15.
Albert KM 《Medical reference services quarterly》2007,26(3):1-19
Satisfying clinical information needs remains a major challenge in medicine, underscored by recent studies showing high medical error rates and suboptimal physician adherence to evidence-based practice guidelines. Advanced clinical decision support systems can improve practitioner performance and patient outcomes. Similarly, integrating online information resources into electronic health records (EHRs) shows great potential for positively impacting health care quality. This paper explores the evolution and current status of knowledge-based resource linkages within EHRs, including the benefits and drawbacks, as well as the important role librarians can play in this process. 相似文献
16.
Managed care organizations have become one of the dominant forms of health care delivery in the United States. Paradoxically, this system, designed to provide better, less expensive care for patients and increased efficiency for health care providers may be compromising patients’ privacy by making patients’ records available to a wider range of internal and external parties. By allowing many individuals access to patients’ health records, the confidentiality of patients’ private information in the managed care environment is at risk. Using an extension of the communication boundary management perspective (Petronio, 1991, 2000) within a case study approach, a breach of patient confidentiality in a managed care environment is examined. From this analysis, practical recommendations are offered to patients, health care providers, and managed care organizations for managing the paradox of patient confidentiality. 相似文献
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18.
Beattie JW 《Medical reference services quarterly》2003,22(4):57-64
The extraordinary volume of health-related information made available on the Internet comes at a high cost for effectively storing and accessing clinical information resources. Additionally, the ability to use critical patient care information is limited to the availability of computer access. Physicians and other health care professionals have readily adopted personal digital assistants (PDAs), also known as handheld computers, because the devices provide succinct critical patient care information at the point of need. Clinical practice guidelines available through the Internet for use with PDAs present health professionals, who have little time, with powerful information already formatted for point-of-care devices. This paper will review several strategies for finding and accessing point-of-care clinical information. 相似文献
19.
OBJECTIVES: This research was conducted to provide new insights on clinical nurses' and nursing students' current use of health resources and libraries and deterrents to their retrieval of electronic clinical information, exploring implications from these findings for health sciences librarians. METHODS: Questionnaires, interviews, and observations were used to collect data from twenty-five nursing students and twenty-five clinical nurses. RESULTS: Nursing students and clinical nurses were most likely to rely on colleagues and books for medical information, while other resources they frequently cited included personal digital assistants, electronic journals and books, and drug representatives. Significantly more nursing students than clinical nurses used online databases, including CINAHL and PubMed, to locate health information, and nursing students were more likely than clinical nurses to report performing a database search at least one to five times a week. CONCLUSIONS AND RECOMMENDATIONS: Nursing students made more use of all available resources and were better trained than clinical nurses, but both groups lacked database-searching skills. Participants were eager for more patient care information, more database training, and better computer skills; therefore, health sciences librarians have the opportunity to meet the nurses' information needs and improve nurses' clinical information-seeking behavior. 相似文献
20.
Julie H. Schiavo 《Medical reference services quarterly》2019,38(2):171-180
PROSPERO is an international database of systematic review protocols produced by the University of York’s Center for Research and Dissemination and funded by the National Institute for Health Research. It contains protocols of systematic reviews on health and social care, welfare, public health, education, crime, justice, and health-related international development. PROSPERO compiles a comprehensive listing of systematic review protocols in an attempt to avoid duplication of effort, reduce reporting bias, and promote transparency. 相似文献