信息来源使用的系统审查和元分析:医疗专家是否在临床决策中使用最好的证据?
Floris S Weller1,2, Sjoerd Repping3, Jaap F Hamming4
1Surgery, Leids Universitair Medisch Centrum, Leiden, The Netherlands f.s.weller@lumc.nl.
BMJ open
|March 10, 2026
概括
医疗专家经常使用像PubMed这样的数字数据库和临床问题的教科书. 然而,他们较少使用临床实践指南等综合来源,这表明需要解决使用障碍.
科学领域:
- 医疗信息学 医疗信息学
- 基于证据的医学基于证据的医学.
- 信息科学 信息科学 信息科学
背景情况:
- 医学专家每天都面临临临床问题.
- 确定最佳信息来源对于有效的实践至关重要.
研究的目的:
- 确定医疗专家使用的信息来源.
- 量化每个来源的相对使用频率.
主要方法:
- 系统性审查与叙事综合和元分析.
- 搜索了多个数据库 (PubMed,Embase,科学网等) 在2000年至2025年期间.
- 包括25项英语研究,其中6项符合元分析条件 (8641名参与者).
主要成果:
- 数字数据库 (如PubMed) 是最常见的 (74%),其次是教科书 (71%) 和同事咨询 (43%).
- 系统地汇总的来源,如临床实践指南 (38%) 和护理点网站 (49%),使用率较低.
- 叙事综合揭示了对独立来源的依赖和使用聚合来源的障碍.
结论:
- 医疗专家主要使用独立的信息来源.
- 综合来源,如临床实践指导方针和临床指导工具未得到充分利用.
- 使用聚合信息来源的障碍需要进一步的调查和干预.
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