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荷兰医疗专家在医疗决策中使用哪些信息来源:定性访谈研究
Floris S Weller1,2, Jaap F Hamming3, Sjoerd Repping4
1Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands f.s.weller@lumc.nl.
医疗专家优先考虑他们现有的知识和经验,而不是积极寻找新信息. 当需要时,他们更喜欢在临床问题上咨询同事,而不是基于证据的工具.
科学领域:
- 医学教育 医学教育
- 医疗信息学 医疗信息学
- 临床决策 - 临床决策
背景情况:
- 了解医疗专家如何获取和利用信息对于改善医疗决策至关重要.
- 当前的信息搜索行为可能与基于证据的实践指南不完全一致.
研究的目的:
- 调查医疗专家用于决策的信息来源.
- 探索当前知识不足时寻找信息的触发因素和方法.
主要方法:
- 使用半结构面试进行定性研究设计.
- 在荷兰学术和区域医院采访了20名医疗专家 (10名外科医生,10名内科医生).
主要成果:
- 专家主要依靠一般知识和经验,对外部信息来源的积极使用有限.
- 知识更新的主要来源包括科学出版物,指南和会议.
- 当知识不足时,专家会咨询同事,搜索文献或请其他人进行搜索.
结论:
- 医疗专家使用信息来源来更新知识并解决特定的临床问题.
- 当存在知识差距时,可访问的来源,如咨询同事,优先于基于证据的医学工具.
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