McKibbon K A, Walker-Dilks C J
Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Health Libr Rev. 1995 Sep;12(3):191-200. doi: 10.1046/j.1365-2532.1995.1230191.x.
Evidence suggests that MEDLINE is becoming an important clinical tool that can improve the care and health of patients. Efforts to improve the quality and impact of end-user searching are needed and ongoing. End users are completing many MEDLINE searches. They appreciate and value training along with feedback on their searching techniques. Practice, is however, the biggest single factor in improving the quality of searching. Key roles for the library in end-user searching include, providing the most effective MEDLINE access possible to the maximum number of users, and providing training that includes feedback and practice opportunities. System-wide advances in structured abstracts, indexing, system design, informatics research and the literature itself will make searching easier and more effective in the future. More important than the quality of search results per se is the impact that end-user searches have on patient care and patient outcomes. Growing evidence shows that both patient care and patient outcomes are improved by end-user searches.
有证据表明，医学期刊数据库（MEDLINE）正成为一种重要的临床工具，能够改善患者的护理和健康状况。提高终端用户检索质量和影响力的工作正在进行中且仍需继续努力。终端用户正在进行大量的医学期刊数据库检索。他们重视培训以及关于检索技巧的反馈。然而，实践是提高检索质量的最大单一因素。图书馆在终端用户检索方面的关键作用包括，为尽可能多的用户提供最有效的医学期刊数据库访问途径，并提供包含反馈和实践机会的培训。在结构化摘要、索引编制、系统设计、信息学研究以及文献本身等全系统范围内的进步，将使未来的检索更加轻松和有效。比检索结果本身的质量更重要的是终端用户检索对患者护理和患者治疗结果的影响。越来越多的证据表明，终端用户检索能改善患者护理和患者治疗结果。
