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全科医生对循证数据库的使用。

General practitioners' use of evidence databases.

作者信息

Young J M, Ward J E

机构信息

Needs Assessment and Health Outcomes Unit, Central Sydney Area Health Service, Newtown, NSW.

出版信息

Med J Aust. 1999 Jan 18;170(2):56-8.

PMID:10026683
Abstract

OBJECTIVE

To determine the awareness and use of the Cochrane Library and access to the Internet by general practitioners in New South Wales.

DESIGN

Cross-sectional postal survey in September 1997.

PARTICIPANTS

311 of 428 (73% response rate) randomly selected general practitioners in New South Wales.

MAIN OUTCOME MEASURES

Proportion of respondents with access to the Internet at home or at work; proportion of respondents aware of, with access to, and ever using the Cochrane Library; independent predictors of awareness of the Cochrane Library.

RESULTS

134 respondents (43%) had access to the Internet either at home or at work; 42 (14%) were "on line" at their workplace. Seventy (22%) were aware of the Cochrane Library, although only 20 (6%) had access to it and 13 (4%) had ever used it. Those in group practice and members of Divisions were independently more likely to be aware of the Cochrane Library.

CONCLUSIONS

As patient outcomes will improve with systematic implementation of evidence-based treatments, these low rates of access to useful evidence databases raise issues regarding the best ways to support general practitioners with information technology.

摘要

目的

确定新南威尔士州全科医生对考科蓝图书馆的认知和使用情况以及互联网接入情况。

设计

1997年9月进行的横断面邮寄调查。

参与者

新南威尔士州随机抽取的428名全科医生中的311名(回复率73%)。

主要观察指标

在家或工作场所可接入互联网的受访者比例;知晓考科蓝图书馆、可接入该图书馆以及曾使用过该图书馆的受访者比例;考科蓝图书馆认知度的独立预测因素。

结果

134名受访者(43%)在家或工作场所可接入互联网;42名(14%)在工作场所“联网”。70名(22%)知晓考科蓝图书馆,尽管只有20名(6%)可接入该图书馆,13名(4%)曾使用过该图书馆。团队执业的医生和地区分部成员独立来看更有可能知晓考科蓝图书馆。

结论

随着循证治疗的系统实施患者预后将会改善,这些有用证据数据库的低接入率引发了关于利用信息技术支持全科医生的最佳方式的问题。

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