Blonde L, Cook J L, Dey J
Department of Internal Medicine, Ochsner Clinic, New Orleans, Louisiana, USA.
Recent Prog Horm Res. 1999;54:1-29; discussion 29-31.
Endocrinologists, like other physicians, are information managers. They manage both disease-specific and patient-specific information and must integrate both types of information to provide the best possible care for their patients. New technologies offer abundant new approaches to medical information management tasks. Many will focus on computer hardware and software applications; others will seek solutions from video, telecommunications, the marriage of computer and consumer electronics, and other evolving technologies popularly referred to as multimedia and virtual reality. Few innovations in history have had the potential to so profoundly change our lives as the Internet. The incredible growth of the Internet to a vast system of interconnected networks serving more than 75 million users in the United States alone largely has been driven by the growth of newsgroups and e-mail, providing a means of communication among Internet users and particularly the World Wide Web (WWW). Information on web pages can be "linked" so that users can click on a link and navigate to other information on the same page, on other pages of the same document, on other files on the same computer, or on other computers linked to the Internet anywhere in the world. Moreover, the navigation requires no knowledge of arcane, difficult-to-remember commands. Hypertext links have the great utility of allowing users to navigate through information according to their own interests and information needs, as opposed to those of an author. The WWW also allows authors to link to other sources of information, rather than having to recreate it themselves. Increasingly easy access to the WWW has dramatically reduced the barriers to publication of information, since it is much easier and much less expensive to place information on the WWW than it is to publish and distribute it in hard copy form. This ease of publication has led to an incredible proliferation of information on the WWW. Much WWW information is of value to health professionals, including endocrinologists. This chapter reviews a variety of potential uses of the Internet by endocrinologists in their clinical, research, and educator roles and provides a number of examples of each. Approaches to finding useful information on the Internet are addressed. Finally, we include some speculation about the role of the Internet in the future practice of endocrinology.
内分泌学家与其他医生一样,都是信息管理者。他们管理特定疾病和特定患者的信息,并且必须整合这两类信息,以便为患者提供尽可能最佳的治疗。新技术为医疗信息管理任务提供了丰富的新方法。许多方法将聚焦于计算机硬件和软件应用;其他方法则会从视频、电信、计算机与消费电子产品的融合以及其他通常被称为多媒体和虚拟现实的不断发展的技术中寻求解决方案。历史上很少有创新像互联网那样有潜力深刻地改变我们的生活。互联网令人难以置信地发展成为一个庞大的互联网络系统,仅在美国就服务着超过7500万用户,这在很大程度上是由新闻组和电子邮件的增长推动的,它们为互联网用户之间,尤其是万维网(WWW)提供了一种交流方式。网页上的信息可以“链接”,这样用户可以点击一个链接,导航到同一页面上的其他信息、同一文档的其他页面、同一台计算机上的其他文件,或者世界上任何地方与互联网相连的其他计算机上的信息。此外,这种导航不需要了解晦涩难懂、难以记住的命令。超文本链接具有极大的实用价值,它允许用户根据自己的兴趣和信息需求浏览信息,而不是按照作者的安排。万维网还允许作者链接到其他信息源,而不必自己重新创建。越来越容易访问万维网极大地降低了信息发布的障碍,因为在万维网上发布信息比以硬拷贝形式出版和分发要容易得多且成本低得多。这种发布的便利性导致万维网上的信息激增。许多万维网信息对包括内分泌学家在内的健康专业人员有价值。本章回顾了内分泌学家在其临床、研究和教育角色中对互联网的各种潜在用途,并为每种用途提供了一些示例。还讨论了在互联网上查找有用信息的方法。最后,我们对互联网在未来内分泌学实践中的作用进行了一些推测。