支持临床决策的电子信息获取：对农村医疗保健结果影响的比较研究
Electronic information access in support of clinical decision making: a comparative study of the impact on rural health care outcomes.
作者信息
McGowan J J, Richwine M
机构信息
Indiana University School of Medicine, Indianapolis, IN, USA.
出版信息
Proc AMIA Symp. 2000:565-9.
UNLABELLED
The purpose of this project was to test whether physician access to electronic information resources in support of clinical decision making in a designated rural and medically underserved area would result in a comparable change in health care outcomes as demonstrated by access to mediated information services.
METHOD
Current information habits were assessed; A tailored information intervention was provided; Use of resources against outcomes defined by previous studies was evaluated.
FINDINGS
The information intervention had a significant impact on reduction of adverse events and physicians' decision patterns.
CONCLUSION
Provision of information tools in support of clinical decision making at the point of care, and training in their use, can have as positive an impact on physician decision making and potential for reduction of adverse events in rural health care as access to mediated information services.
未标注
本项目的目的是测试在指定的农村及医疗服务欠缺地区，医生获取支持临床决策的电子信息资源，是否会像获取中介信息服务那样，给医疗保健结果带来类似的改善。
方法
评估当前的信息习惯；提供量身定制的信息干预；根据先前研究确定的结果评估资源使用情况。
结果
信息干预对减少不良事件及医生的决策模式有显著影响。
结论
在医疗现场提供支持临床决策的信息工具并开展使用培训，对于农村医疗中医生的决策以及减少不良事件的可能性，能产生与获取中介信息服务同样积极的影响。
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